NPI 1124179486

Donald Lee Kettwich, MD

Practitioner Urology Physician Albuquerque, NM

Practice location

Address: 711 Encino Pl NE Suite E, Albuquerque, NM 87102-2619
Phone: (505) 245-5737
Fax: (505) 245-5739

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 76-208 (NM)

Other Urology providers in New Mexico →

Registry record

NPI: 1124179486
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2007
Record last updated: 23 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.