Kowehealth Llc | |
1209 Mountain Road Pl Ne Ste R Albuquerque NM 87110-7845 | |
(505) 460-5489 | |
Not Available |
Full Name | Kowehealth Llc |
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Speciality | Nurse Practitioner |
Location | 1209 Mountain Road Pl Ne Ste R, Albuquerque, New Mexico |
Authorized Official Name and Position | Zephaniah Chepkwony (NP) |
Authorized Official Contact | 5054605489 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kowehealth Llc 900 Pinetree Rd Se Rio Rancho NM 87124-7615 Ph: () - | Kowehealth Llc 1209 Mountain Road Pl Ne Ste R Albuquerque NM 87110-7845 Ph: (505) 460-5489 |
NPI Number | 1689438657 |
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Provider Enumeration Date | 02/09/2024 |
Last Update Date | 07/02/2024 |
Medicare PECOS PAC ID | 0143660423 |
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Medicare Enrollment ID | O20240503000920 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689438657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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