Healthcare Provider Details

I. General information

NPI: 1164575528
Provider Name (Legal Business Name): KAREN ELIZABETH DAWSON DOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN ELIZABETH DAWSON DOM

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4835 ERIN ST NE
ALBUQUERQUE NM
87109-3063
US

IV. Provider business mailing address

4835 ERIN ST NE
ALBUQUERQUE NM
87109-3063
US

V. Phone/Fax

Practice location:
  • Phone: 505-620-5879
  • Fax:
Mailing address:
  • Phone: 505-620-5879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number129
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: