Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 96-391 | NM |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 96391 | NM |
NPI | 1164528428 |
---|---|
Provider Name | Karin Elizabeth Thron |
First Address | Santa Fe, NM 87505-7717 |
Second Address | Santa Fe, NM 87505-7717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 23/09/2020 |