Kenneth Joseph Trezza in Albuquerque - Specialist
Kenneth Joseph Trezza - NPI 1114142353
Kenneth Joseph Trezza is a Specialist in Albuquerque, New Mexico. Kenneth Joseph Trezza practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kenneth Joseph Trezza is 1114142353. The last update date is 2007-07-08.
Kenneth Joseph Trezza's current location address is 6915 Calle Almeria Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5053459934 and fax number 5053453708. The mailing address for Kenneth Joseph Trezza is 6915 Calle Almeria Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Joseph Trezza |
|---|---|
| Address | 6915 Calle Almeria Ne, Albuquerque, New Mexico |
| Phone Number | 5053459934 |
| Fax Number | 5053453708 |
| Sole Proprietor | Y |
| Credentials | NCTMB LMT |
NPI Number Detail
| NPI Number | 1114142353 |
|---|---|
| Provider Enumeration Date | 2007-04-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6915 Calle Almeria Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871131093 |
| Phone Number | 5053459934 |
| Fax Number | 5053453708 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 5253 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5253 | NM | LICENCE NUMBER |
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What is the unique 10-digit identification code assigned to Kenneth Joseph Trezza by the Centers for Medicare & Medicaid Services?
The Kenneth Joseph Trezza has been issued the NPI (National Provider Identifier) 1114142353, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Joseph Trezza located?
The Kenneth Joseph Trezza is located at 6915 Calle Almeria Ne, Albuquerque, NM 871131093.
What is the Kenneth Joseph Trezza's specialty and taxonomy code?
The Kenneth Joseph Trezza's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Kenneth Joseph Trezza receive its 1114142353 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Joseph Trezza was assigned its 1114142353 on 2007-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kenneth Joseph Trezza's information last updated?
The Kenneth Joseph Trezza's information was last updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA