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NPI Code Detail

MEDICARE: DR. CAROLYN E KALGREN MD

MEDICARE: DR. CAROLYN E KALGREN MD
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
1208000000XPediatrics Physician96386NM

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 : 1982648531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLYN E KALGREN MD
Provider Business Mailing Address
First Line : 8308 CONSTITUTION PL NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-7637
Country : US
Telephone Number : 505-883-9570
Fax Number : 505-883-4163
Provider Business Practice Location Address
First Line : 8308 CONSTITUTION PL NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-7637
Country : US
Telephone Number : 505-883-9570
Fax Number : 505-883-4163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 10/30/2018

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Directions to “ DR. CAROLYN E KALGREN MD” Practice Location

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