Individual
KAREN SUE JENSEN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 DON PASQUAL RD NW, SUITE 116, LOS LUNAS, NM 87031-8841
(505) 865-4618
(505) 224-8727
Mailing address
145 DON PASQUAL RD NW, SUITE 116, LOS LUNAS, NM 87031-8841
(505) 865-4618
(505) 224-8727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96-308
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q4985
—
NM
Enumeration date
02/09/2006
Last updated
02/05/2013
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