Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen A Shore, DO

Individual provider Family Medicine Physician · NPI 1720240492

Kathleen A Shore, DO is a Family Practice in Albuquerque, New Mexico. Qualified in 2007, 19 years ago. Practices with County of Ventura, a 274-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California and New Mexico.

Years since qualifying
19
Licensed in
AZ, CA, NM
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2400 Tucker NE
Albuquerque, NM 87131-0001
Phone: (505) 272-1734
Fax: (505) 272-6308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2240 E Gonzales Rd Ste 100, Oxnard, CA 93036-8212 — (805) 981-5151

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A12544 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A156710 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R1020 (AZ)

Record details

NPI number1720240492
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice County Of Ventura — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque