Search › New Mexico › 1223G0001X
Kenneth Childress, DDS
NPI 1912923475 · on the registry since 2006
Practice
- Address
- 721 Mechem Dr
Sierra Mall #5
Ruidoso, NM 88345 - Phone
- (575) 257-0246
- Fax
- (575) 257-0249
- Organisation at this address
- Schramm Drug Inc
United Supermarkets Llc
Immedicare Care Clinic Pc
Kenneth W Childress Dds PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- CO, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-24
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