person
Donald Lee Kettwich, MD
Urology Physician in Albuquerque, New Mexico
NPI 1124179486

Donald Lee Kettwich is a Urology Physician based in Albuquerque, NM. Donald Lee Kettwich practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Donald Lee Kettwich is 1124179486 and holds a License No. 76-208 (New Mexico).

The current practice location address for Donald Lee Kettwich is 711 Encino Pl Ne, Albuquerque, NM and can be reached out via phone at 505-245-5737 and via fax at 505-245-5739. You can also correspond with Donald Lee Kettwich through the mailing address at 711 ENCINO PL NE, ALBUQUERQUE, NM - 87102-2619 (mailing address contact number: 505-245-5737).

Location: 711 Encino Pl Ne, Albuquerque, NM, 87102-2619
person
Provider Profile Details
NPI Number
1124179486
Provider Name
Donald Lee Kettwich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
711 Encino Pl Ne, Albuquerque, NM, 87102-2619
Phone Number
505-245-5737
Fax Number
505-245-5739
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00015941 05 NM
85-0284119 01 NM JOHN ALDEN
00NM019E05 01 NM BLUE CROSS-BLUE SHIELD-NM
85-0284119 01 NM TRICARE FOR LIFE
85-0284119 01 NM IBEW-NECA
85-0284119 01 NM GEHA
85-0284119 01 NM AARP
85-0284119 01 NM E.B.C.
201005185 01 NM PRESBYTERIAN HEALTH PLAN
85-0284119 01 NM LOVELACE HEALTH PLAN
85-0284119 01 NM PRINCIPAL LIFE INS.
85-0284119 01 NM UNITED HEALTHCARE
85-0284119 01 NM CIGNA
85-0284119 01 NM UPREHS
85-0284119 01 NM UNITED AMERICAN
85-0284119 01 NM N.M. PIPE TRADES
85-0284119 01 NM AETNA
institution
Provider Business Practice Location Address Details
Address
711 Encino Pl Ne
City
State
Zip
87102-2619
Phone Number
505-245-5737
Fax Number
505-245-5739
person
Provider Business Mailing Address Details
Address
711 Encino Pl Ne
City
State
Zip
87102-2619
Phone Number
505-245-5737
Fax Number
505-245-5739
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
76-208 (New Mexico)
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 acquired conditions of the urinary and reproductive systems and their contiguous structures.
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