Donald Lee Kettwich in Albuquerque - Urology
Donald Lee Kettwich - NPI 1124179486
Donald Lee Kettwich is a Urology in Albuquerque, New Mexico. Donald Lee Kettwich practices all healthcare services and medical treatments related to Urology. The NPI Number for Donald Lee Kettwich is 1124179486. The last update date is 2008-05-23.
Donald Lee Kettwich's current location address is 711 Encino Pl Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052455737 and fax number 5052455739. The mailing address for Donald Lee Kettwich is 711 Encino Pl Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Lee Kettwich |
|---|---|
| Address | 711 Encino Pl Ne, Albuquerque, New Mexico |
| Phone Number | 5052455737 |
| Fax Number | 5052455739 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124179486 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2008-05-23 |
Provider Mailing Address Detail
| Address | 711 Encino Pl Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871022619 |
| Phone Number | 5052455737 |
| Fax Number | 5052455739 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 76-208 |
|
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15941 | NM | -- | |
| 85-0284119 | NM | JOHN ALDEN | |
| 00NM019E05 | NM | BLUE CROSS-BLUE SHIELD-NM | |
| 85-0284119 | NM | TRICARE FOR LIFE | |
| 85-0284119 | NM | IBEW-NECA | |
| 85-0284119 | NM | GEHA | |
| 85-0284119 | NM | AARP | |
| 85-0284119 | NM | E.B.C. | |
| 201005185 | NM | PRESBYTERIAN HEALTH PLAN | |
| 85-0284119 | NM | LOVELACE HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Donald Lee Kettwich by the Centers for Medicare & Medicaid Services?
The Donald Lee Kettwich has been issued the NPI (National Provider Identifier) 1124179486 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Donald Lee Kettwich?
The Donald Lee Kettwich is situated at 711 Encino Pl Ne, in the city of Albuquerque, state of NM, with the zip code 871022619.
What is Donald Lee Kettwich's area of expertise and its corresponding taxonomy classification?
The Donald Lee Kettwich's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1124179486 to Donald Lee Kettwich?
The Donald Lee Kettwich received its 1124179486 assignment from the Centers for Medicare & Medicaid Services on 2007-01-15.
When was the information regarding Donald Lee Kettwich most recently updated?
The details pertaining to the Donald Lee Kettwich, including its address, specialty, and other relevant information, were last refreshed on 2008-05-23.