KATHLEEN M MADRID, L. M.T. #505, Specialist EL RITO, NM

Contact Information

KATHLEEN M MADRID, L. M.T. #505

1167A HIGHWAY 554
EL RITO, NM 87530-0805

Phone: 505-581-0033
Fax: 505-581-0034
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for KATHLEEN M MADRID · (Female)

NPI #	`1174678817`
Status	Active
Credentials	L. M.T. #505
Entity	Individual
Enumeration date	01/24/2007
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Yes
Identifiers	NM License # L.M.T. #505
Hospital affiliation(s)	Not Available

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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