Organization Name: | CAROLINE KINGSTON MD MPH FAMILY PRACTICE LLC |
NPI Number: | 1194966747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE KINGSTON (DR.) |
Mailing Address: | 460 Saint Michaels Dr 1204 Santa Fe |
State: | NM US |
Postal Code: | 875057619 |
Phone Number: | 5058202562 |
Fax Number: | 5059860904 |
NPI Enumeration Date: | 03/11/2009 |
NPI Last Update Date: | 12/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 97-89 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |