Provider Demographics
NPI:1437158664
Name:ABERNATHY-CARVER, KATHERINE JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JEAN
Last Name:ABERNATHY-CARVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2509 VIRGINIA ST NE
Mailing Address - Street 2:STE B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4694
Mailing Address - Country:US
Mailing Address - Phone:505-294-1471
Mailing Address - Fax:505-293-7148
Practice Address - Street 1:2509 VIRGINIA ST NE
Practice Address - Street 2:STE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4694
Practice Address - Country:US
Practice Address - Phone:505-294-1471
Practice Address - Fax:505-293-7148
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM941207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM15349Medicaid
NMNM003311OtherBLUE CROSS BLUE SHIELD
NM10097OtherPRESBYTERIAN HEALTH
NM10097OtherPRESBYTERIAN HEALTH