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KATHLEEN MEZOFF MD
NPI 1942272208
Pediatrics - Developmental - Behavioral Pediatrics in Gallup, NM

Active since February 02, 2006
2111 COLLEGE DR, GALLUP, NM 87301(505) 863-1820 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Mezoff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN MEZOFF MD (NPI 1942272208) is an individual developmental - behavioral pediatrics provider in Gallup, New Mexico, licensed in New Mexico (80-68) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1942272208
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameKATHLEEN MEZOFFCredential: MD
Location Address2111 COLLEGE DRGallup, NM 87301-5600
Mailing Address1901 Redrock Dr, Pfs DeptGallup, NM 87301-5683 · (505) 863-7000
Phone(505) 863-1820
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1942272208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NM · 80-68
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
2111 COLLEGE DR, Gallup, NM 87301
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Other Identifiers 7

Other10002105NM · Lovelace Health/salud
Medicare UPINC97975
Other85031326887301A131Champus
OtherPROVP14495NM · Molina
Medicaid13656NM
Medicaid239922AZ
OtherNM001861NM · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS P LUCERO CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
TIUS JAMES
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 979-9870
JANENE VAUGHN LCSW
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
JUDY A LURANC SWEENEY OT
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
RAELYNN BENALLY
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
KRISTEN JOY PIKAART CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 870-8445
CHRISTOPHER CODY BALDONADO RN
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5797
AHEDABAH J JUNE CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Mezoff's NPI number?

The NPI number for Kathleen Mezoff is 1942272208. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Kathleen Mezoff located?

Kathleen Mezoff practices at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 863-1820.

What is Kathleen Mezoff's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Kathleen Mezoff was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.