Individual
DOUGLAS ARLYN KINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(706) 354-5770
Mailing address
PO BOX 5719, ATHENS, GA 30604-5719
(706) 354-5770
(706) 354-5769
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
90-224
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25445
—
NM
Enumeration date
01/25/2007
Last updated
07/27/2011
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