Collins, Kimberly Marie

Collins, Kimberly Marie is an individual health care provider with primary practice located at 1900 Redrock Dr , Gallup NM 87301-5682. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Collins, Kimberly Marie can be contacted via phone (505) 863-7200.

Contact Information

Primary practice address
1900 Redrock Dr Gallup NM 87301-5682
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2003-0466 New Mexico

Profile Details

NPI number 1386622561
LBN Legal business name Collins, Kimberly Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386622561 NPPES
New Mexico Other NM009H62 BC/BS
New Mexico Other 809824 BC/BS
New Mexico Other P00060931 BC/BS
New Mexico Other PROVP12196 BC/BS
New Mexico Other 201042791 BC/BS
New Mexico Other 850313268020 BC/BS
New Mexico Other 10005144 BC/BS
New Mexico MEDICAID 54580251 BC/BS

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