Austin, Kathleen Jo

Austin, Kathleen Jo is an individual health care provider with primary practice located at 385 Calle De Alegra Bldg. C, Las Cruces NM 88005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Austin, Kathleen Jo can be contacted via phone (575) 521-7181.

Contact Information

Primary practice address
385 Calle De Alegra Bldg. C Las Cruces NM 88005
Fax: (575) 521-7199
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X CNP00054 New Mexico

Profile Details

NPI number 1215933759
LBN Legal business name Austin, Kathleen Jo
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 28th, 2018 - about 6 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 1215933759 NPPES
New Mexico Other 468065YRND MEDICARE
New Mexico MEDICAID 98245 MEDICARE

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