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NPI 1124179486

IndividualActive

Donald Kettwich, M.D.

NPI 1124179486 · Urology Physician · Albuquerque, NM

Provider details

NPI number: 1124179486
Entity type: Individual
Primary specialty: Urology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 76-208 (NM)

Practice location

711 Encino Pl Ne

Suite E

Albuquerque, NM 87102-2619

Phone: (505) 245-5737

Fax: (505) 245-5739

More NM providers

Mailing address

711 Encino Pl Ne

Albuquerque, NM 87102-2619

Registry dates

Enumerated: 2007-01-15
Last updated: 2008-05-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Donald Kettwich, M.D. — NPI 1124179486, Albuquerque, NM | NPI Central