Individual
DR. KATE M MUSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
881 LEAD AVE SE, ALBUQUERQUE, NM 87102-3644
(505) 242-6899
Mailing address
881 LEAD AVE SE, ALBUQUERQUE, NM 87102-3644
(505) 242-6899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
85-252
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28191
NM MEDICAID
NM
01
—
4142
BLUE CROSS BLUE SHIELD
NM
Enumeration date
09/03/2006
Last updated
07/08/2007
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