Mezoff, Kathleen

Mezoff, Kathleen is an individual health care provider with primary practice located at 2111 College Dr , Gallup NM 87301-5600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Mezoff, Kathleen can be contacted via phone (505) 863-1820.

Contact Information

Primary practice address
2111 College Dr Gallup NM 87301-5600
Phone: (505) 863-1820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 80-68 New Mexico

Profile Details

NPI number 1942272208
LBN Legal business name Mezoff, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 9th, 2007 - about 19 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 1942272208 NPPES
New Mexico Other 10002105 LOVELACE HEALTH/SALUD
New Mexico Other PROVP14495 LOVELACE HEALTH/SALUD
New Mexico MEDICAID 239922 LOVELACE HEALTH/SALUD
New Mexico Other NM001861 LOVELACE HEALTH/SALUD
New Mexico MEDICAID 13656 LOVELACE HEALTH/SALUD
New Mexico Other 85031326887301A131 LOVELACE HEALTH/SALUD

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