SearchNew Mexico183500000X

John Keck

NPI 1700273158 · on the registry since 2015

Practice

Address
2550 Coors Blvd Nw
Albuquerque, NM 87120
Phone
(505) 352-1880
Organisation at this address
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-23

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