Healthcare Provider Details

I. General information

NPI: 1003180969
Provider Name (Legal Business Name): KRISTEN L. BIGGS, MD, SKIN CARE & VEIN CENTRE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2012
Last Update Date: 06/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 SAINT MICHAELS DR
SANTA FE NM
87505-7603
US

IV. Provider business mailing address

PO BOX 32568
SANTA FE NM
87594-2568
US

V. Phone/Fax

Practice location:
  • Phone: 505-695-7070
  • Fax: 505-695-7076
Mailing address:
  • Phone: 505-695-7070
  • Fax: 505-695-7076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD2008-0516
License Number StateNM

VIII. Authorized Official

Name: DR. KRISTEN LYNN BIGGS
Title or Position: VASCULAR SURGEON
Credential: M.D.
Phone: 505-695-7070