Kathleen Mezoff
MD | Developmental - Behavioral Pediatrics | Female
Kathleen Mezoff, MD is a Gallup, New Mexico based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Kathleen Mezoff is
2111 College Dr, Gallup, New Mexico - 87301-5600. She can be contacted on phone at
505-863-1820.
Kathleen Mezoff is a sole proprietor of her business.
NPI number (Unique professional ID) for Kathleen Mezoff is
1942272208 which was assigned by NPPES on 02 Feb, 2006 and it was last updated on 09 Jul, 2007.
Kathleen Mezoff license number is
80-68 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in New Mexico.
Kathleen Mezoff is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Kathleen Mezoff basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Kathleen Mezoff |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Kathleen Mezoff address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2111 College Dr
Gallup, NM, 87301-5600
United States |
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| Phone Number : | 505-863-1820 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942272208 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Feb, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Mezoff are as mentioned. Primary taxonomy code for Kathleen Mezoff, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 80-68 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Kathleen Mezoff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10002105 | Other | NM | LOVELACE HEALTH/SALUD |
| NM001861 | Other | NM | BCBS |
| 239922 | MEDICAID | AZ | |
| PROVP14495 | Other | NM | MOLINA |
| 13656 | MEDICAID | NM | |
| 85031326887301A131 | Other | | CHAMPUS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1901 Redrock Dr, Pfs Dept
Gallup, NM, 87301-5683
United States |
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| Phone Number : | 505-863-7000 |
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Business Location:
Patients can refer following map for directions to
Kathleen Mezoff practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.