Provider Demographics
NPI:1528201431
Name:ROMERO, KATHLEEN AMY (AUD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:AMY
Last Name:ROMERO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:AMY
Other - Last Name:ROMERO-JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8300 CARMEL AVE NE STE 104
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-3147
Mailing Address - Country:US
Mailing Address - Phone:505-842-5810
Mailing Address - Fax:505-213-0938
Practice Address - Street 1:8300 CARMEL AVE NE STE 104
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87122-3147
Practice Address - Country:US
Practice Address - Phone:505-842-5810
Practice Address - Fax:505-213-0938
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4554237600000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter