Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548

  • NPI 1962709956
According to our database, the NPI number for Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 is 1962709956 and activated since 13 years ago. Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 is an individual provider who specializes in Contractor, and the primary practice location is 201 Eubank Blvd Ne, Albuquerque, NM 87123. You can also contact Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 via telephone number is (505) 712-7585. Provider NPI information was last updated on 02/28/2011.

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Overview of Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/28/2011
  • Last updated: 02/28/2011

Primary Scrop of Practice

  • Taxonomy Code: 171W00000X
  • Specialty: Contractor
  • License Number: LMT # 5488
  • License State: NM

Provider Mailing Address

  • Address: 8400 Menaul Blvd
    8400 Menaul Blvd. Ne. #217
    Albuquerque, NM 87112
  • Phone: 505-712-7585
  • Fax:

Provider Practice Location

  • Address: 201 Eubank Blvd Ne
    B1
    Albuquerque, NM 87123
  • Phone: 505-712-7585
  • Fax:

Scope of Practice

  • Taxonomy Code: 171W00000X
  • Specialty: Contractor
  • License Number: LMT # 5488
  • License State: NM
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548?
  • A: The npi number for Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 is 1962709956.
  • Q: What are Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548's specialties?
  • A: Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548's specialties are Contractor and different specialities.
  • Q: What is the medical license for Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548?
  • A: The medical license number for Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 is LMT # 5488 and issued in NM in USA.
  • Q: Where is Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 practice location?
  • A: Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 is practicing at 201 Eubank Blvd Ne, Albuquerque, NM 87123.
  • Q: How to contact Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548?
  • A: You can contact Kenneth Dorsey Tisdale L.C.I.C.I., LMT #548 via 505-712-7585.