Basic Information
| Provider Information | |||||||||
| NPI: | 1164528428 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | THRON | ||||||||
| FirstName: | KARIN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550D SAINT MICHAELS DR | ||||||||
| Address2: | |||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875057717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059824098 | ||||||||
| FaxNumber: | 5052160180 | ||||||||
| Practice Location | |||||||||
| Address1: | 550D SAINT MICHAELS DR | ||||||||
| Address2: | |||||||||
| City: | SANTA FE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 875057717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5059824098 | ||||||||
| FaxNumber: | 5052160180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 09/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 96-391 | NM | N | Allopathic & Osteopathic Physicians | Family Medicine | 207QH0002X | 96391 | NM | Y | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine |
No ID Information.