Kos, Deborah Leslie
Kos, Deborah Leslie is an sole proprietor health care provider with primary practice located at 4810 Hardware Dr Ne , Albuquerque NM 87109-2013. She recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as her primary health care specialty. Kos, Deborah Leslie can be contacted via phone (505) 273-4610.Contact Information
Primary practice address
4810 Hardware Dr Ne
Albuquerque NM 87109-2013
Phone: (505) 273-4610
Fax: (505) 255-4717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 0042C | New Mexico |
Profile Details
| NPI number | 1477585990 |
|---|---|
| LBN Legal business name | Kos, Deborah Leslie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jan 10th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477585990 | NPPES |
| New Mexico | MEDICAID | 13870068 | |
| New Mexico | Other | 1149 |
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