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NPI Code Detail

MEDICARE: DR. KATHERINE CANFIELD

MEDICARE: DR. KATHERINE CANFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician2001-148NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225154503
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE CANFIELD
Provider Business Mailing Address
First Line : 8024 DARK MESA AVE NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-6532
Country : US
Telephone Number : 505-836-7330
Fax Number : 505-836-7424
Provider Business Practice Location Address
First Line : 5310 SEQUOIA RD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-1249
Country : US
Telephone Number : 505-836-7330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/09/2007

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Directions to “ DR. KATHERINE CANFIELD ” Practice Location

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