Dearing, Kathryn

Dearing, Kathryn is an individual health care provider with primary practice located at 224 W Dl Ingram Blvd Bldg 1408, Cannon Afb NM 88103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dearing, Kathryn can be contacted via phone (575) 904-3874.

Contact Information

Primary practice address
224 W Dl Ingram Blvd Bldg 1408 Cannon Afb NM 88103
Phone: (575) 904-3874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1975 Nebraska

Profile Details

NPI number 1518325190
LBN Legal business name Dearing, Kathryn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2016
Last updated Nov 7th, 2022 - about 3 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 1518325190 NPPES
Nebraska MEDICAID 10025715000
Nebraska MEDICAID 1518325190
Nebraska MEDICAID 10026480112

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