Individual
DR. KIRA MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-3361
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD2024-0168
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
07/30/2024
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