Alcon, Kathleen A

Alcon, Kathleen A is an individual health care provider with primary practice located at 1398 Weimer Rd Ste 203, Taos NM 87571. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Alcon, Kathleen A can be contacted via phone (575) 737-0304.

Contact Information

Primary practice address
1398 Weimer Rd Ste 203 Taos NM 87571
Phone: (575) 737-0304
Fax: (575) 737-0383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2858 New Mexico
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 453 New Mexico

Profile Details

NPI number 1053422956
LBN Legal business name Alcon, Kathleen A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 27th, 2013 - about 11 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 1053422956 NPPES
New Mexico MEDICAID 43383386

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