Search › New Mexico › 101YA0400X
Kenneth Wanya
NPI 1467061127 · on the registry since 2020
Practice
- Address
- 1528 Five Points Rd Sw
Albuquerque, NM 87105 - Phone
- (505) 242-2696
- Organisation at this address
- Recovery Services Of New Mexico, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico