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Willis H. Kephart, MD
Obstetrics & Gynecology Physician in Albuquerque, New Mexico
NPI 1306872940

Willis H. Kephart is a Obstetrics & Gynecology Physician based in Albuquerque, NM. Willis H. Kephart practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Willis H. Kephart is 1306872940 and holds a License No. 2000165660 (New Mexico).

The current practice location address for Willis H. Kephart is 4705 Montgomery Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-727-4500 and via fax at 505-727-4505. You can also correspond with Willis H. Kephart through the mailing address at 6100 PAN AMERICAN EAST FWY NE, ALBUQUERQUE, NM - 87109-3427 (mailing address contact number: 505-727-4500).

Location: 4705 Montgomery Blvd Ne, Albuquerque, NM, 87109-3427
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Provider Profile Details
NPI Number
1306872940
Provider Name
Willis H. Kephart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4705 Montgomery Blvd Ne, Albuquerque, NM, 87109-3427
Phone Number
505-727-4500
Fax Number
505-727-4505
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100327540B 05 KS
595985805 05 MO
540568508 05 MO
32771 05 NM
599225901 05 MO
100188410A 05 OK
90036022 05 KS
205083603 05 MO
595956103 05 MO
595956202 05 MO
010568509 05 MO
595956400 05 MO
institution
Provider Business Practice Location Address Details
Address
4705 Montgomery Blvd Ne
City
State
Zip
87109-1226
Phone Number
505-727-4500
Fax Number
505-727-4505
person
Provider Business Mailing Address Details
Address
4705 Montgomery Blvd Ne
City
State
Zip
87109-1226
Phone Number
505-727-4500
Fax Number
505-727-4505
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
81-243 (New Mexico)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
2000165660 (Missouri)
Definition
Definition to come...
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