Individual
DR. KATHLEEN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1863 BURKE RD, LAS CRUCES, NM 88007
(505) 527-0569
Mailing address
PO BOX 6880, LAS CRUCES, NM 88006-6880
(505) 527-0569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85149
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76026
—
NM
Enumeration date
07/28/2006
Last updated
07/08/2007
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