Individual
DR. JACQUELINE ANNE KROHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
3917 WEST RD, SUITE 136, LOS ALAMOS, NM 87544-2275
(505) 662-9620
(505) 662-0024
Mailing address
3917 WEST RD, SUITE 136, LOS ALAMOS, NM 87544-2275
(505) 662-9620
(505) 662-0024
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79195
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11783
—
NM
Enumeration date
10/27/2005
Last updated
08/16/2007
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