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NPI Verification

National Provider Identifier: 1124179486

Donald Lee Kettwich, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

711 ENCINO PL NE

SUITE E

ALBUQUERQUE, NM 871022619

Phone: 505-245-5737

NPI Enumeration Date

January 15, 2007

NPI Number

1124179486

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry