National Provider Identifier Database

KATHLEEN MEZOFF, MD – NPI #1942272208
Developmental - Behavioral Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.


Contact Information

KATHLEEN MEZOFF, MD
2111 COLLEGE DR
GALLUP, NM87301-5600
Phone: 505-863-1820
Fax:
Website:
Specialty Taxonomy Code
* Developmental - Behavioral Pediatrics 2080P0006X

* Indicates primary specialty

NPI Profile & details for KATHLEEN MEZOFF

NPI Number 1942272208
Credentials MD
Entity Individual
Enumeration date 02/02/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 80-68
  • AZ Medicaid: 239922
  • NM Medicaid: 13656
  • Other: 85031326887301A131 CHAMPUS
  • NM Other: NM001861 BCBS
  • NM Other: 10002105 LOVELACE HEALTH/SALUD
  • NM Other: PROVP14495 MOLINA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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