Mr Kenneth Lee Davis, CPSW, CPSC, MSD, DD is a
Case Manager/care Coordinator based in Rio Rancho, New Mexico. Mr Kenneth Lee Davis is licensed to practice in * (Not Available) (license number ) and his current practice location is
184 Unser Blvd Ne, Rio Rancho, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 896-0928.
NPI number for Mr Kenneth Lee Davis is 1023143021 and his current mailing address is 177b El Cerro Mission Rd, Los Lunas, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023143021.
Healthcare Provider's Profile
| Full Name | Mr Kenneth Lee Davis |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 184 Unser Blvd Ne, Rio Rancho, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023143021
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 04/25/2014
Medical Identifiers
Medical identifiers for Mr Kenneth Lee Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023143021 | NPI | - | NPPES |
| 44842 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | RC00056544 (Washington) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Lee Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kenneth Lee Davis, CPSW, CPSC, MSD, DD
177b El Cerro Mission Rd,
Los Lunas, NM 87031-7874
Ph: (505) 240-2399 | Mr Kenneth Lee Davis, CPSW, CPSC, MSD, DD
184 Unser Blvd Ne,
Rio Rancho, NM 87124-4045
Ph: (505) 896-0928 |
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