Provider Demographics
NPI:1164528428
Name:THRON, KARIN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:ELIZABETH
Last Name:THRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:550D SAINT MICHAELS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7717
Mailing Address - Country:US
Mailing Address - Phone:505-982-4098
Mailing Address - Fax:505-216-0180
Practice Address - Street 1:550D SAINT MICHAELS DR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7717
Practice Address - Country:US
Practice Address - Phone:505-982-4098
Practice Address - Fax:505-216-0180
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM96-391207Q00000X
NM96391207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine