Dearing, Kathryn
Dearing, Kathryn is an individual health care provider with primary practice located at 224 W Dl Ingram Blvd Bldg 1408, Cannon Afb NM 88103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dearing, Kathryn can be contacted via phone (575) 904-3874.Contact Information
Primary practice address
224 W Dl Ingram Blvd Bldg 1408
Cannon Afb NM 88103
Phone: (575) 904-3874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1975 | Nebraska |
Profile Details
| NPI number | 1518325190 |
|---|---|
| LBN Legal business name | Dearing, Kathryn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2016 |
| Last updated | Nov 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518325190 | NPPES |
| Nebraska | MEDICAID | 10025715000 | |
| Nebraska | MEDICAID | 1518325190 | |
| Nebraska | MEDICAID | 10026480112 |
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