Individual
KAAREN L MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2920 CARLISLE BLVD NE BLDG B, ALBUQUERQUE, NM 87110-2867
(575) 973-2364
Mailing address
2920 CARLISLE BLVD NE BLDG B, ALBUQUERQUE, NM 87110-2867
(575) 973-2364
(833) 438-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA2004-0011
NM
363A00000X
Physician Assistant
Primary
PA2004-0011
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90352891
—
NM
Enumeration date
10/04/2006
Last updated
04/30/2026
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