M.D. Donald Lee Kettwich, NPI 1124179486
Urology Physician in Albuquerque, NM, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1124179486
NPI Entity Type Individual
Provider Name M.D. Donald Lee Kettwich
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 711 Encino Pl Ne, Suite E, Albuquerque, NM, US
Provider Mailing Address 711 Encino Pl Ne, Suite E, Albuquerque, NM, US, 871022619
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

208800000X

Taxonomy Name Urology Physician
Classification

Urology

Group

Allopathic & Osteopathic Physicians

License No. 76-208
License State NM
Description 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 acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

M.D. Donald Lee Kettwich
711 Encino Pl Ne
Suite E

Albuquerque, NM, US

Phone: 505-245-5737
Fax: 505-245-5739

Mailing Address

M.D. Donald Lee Kettwich
711 Encino Pl Ne
Suite E
Albuquerque, NM, US
ZIP 871022619
Phone: 505-245-5737
Fax: 505-245-5739

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00015941 NM MEDICAID 05
85-0284119 NM JOHN ALDEN 01
00NM019E05 NM BLUE CROSS-BLUE SHIELD-NM 01
85-0284119 NM TRICARE FOR LIFE 01
85-0284119 NM IBEW-NECA 01
85-0284119 NM GEHA 01
85-0284119 NM AARP 01
85-0284119 NM E.B.C. 01
201005185 NM PRESBYTERIAN HEALTH PLAN 01
85-0284119 NM LOVELACE HEALTH PLAN 01
85-0284119 NM PRINCIPAL LIFE INS. 01
85-0284119 NM UNITED HEALTHCARE 01
85-0284119 NM CIGNA 01
85-0284119 NM UPREHS 01
85-0284119 NM UNITED AMERICAN 01
85-0284119 NM N.M. PIPE TRADES 01
85-0284119 NM AETNA 01

Other Providers in NM, US

NPI Name Taxonomy Address

1598315772

Phillip Ma

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1578040861

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Las Cruces Physician Practices, Llc

Organization

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Organization

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Organization

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LMHC Ann Marie M Benavidez

Individual

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1306358981

NP-C Ashley Nichole Quintana

Individual

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1942925383

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Organization

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1457076887

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1528783941

Baylei Pollaro

Individual

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Albuquerque, NM

1558086967

Sshort Counseling

Organization

Clinical Social Worker

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Jemez Springs, NM

1437535267

D.P.M. Daniel Wright

Individual

Foot & Ankle Surgery Podiatrist

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Clovis, NM

1225788987

DO Adedayo Michael Balogun

Individual

Student in an Organized Health Care Education/Training Program

4351 E Lohman Ave Ste 300

Las Cruces, NM

1972511061

Family Hospice, Ltd.

Organization

Community Based Hospice Care Agency

1515 W Calle Sur St Ste 129

Hobbs, NM

1073501508

Medical Associates Of Northern New Mexico

Organization

Cardiovascular Disease Physician

3917 West Rd

Suite A

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1215307194

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Organization

Internal Medicine Physician

5419 N Lovington Hwy

Hobbs, NM

1457636706

Alteon Health New Mexico Llc

Organization

Emergency Medicine Physician

5419 N Lovington Hwy

Hobbs, NM

1477022135

RN MS MPA PMHNP-BC Dawn O'keefe

Individual

Psychiatric/Mental Health Nurse Practitioner

800 E 9th Ave

Truth Or Consequences, NM

1972228351

Juliet Ulibarri

Individual

Clinical Social Worker

6601 Valentine Way

Santa Fe, NM

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