Individual
MARTHA J KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6100 PAN AMERICAN FREEWAY, NE, SUITE 390, ALBUQUERQUE, NM 87109-3401
(505) 823-1805
(505) 823-1844
Mailing address
6100 PAN AMERICAN FREEWAY, NE, SUITE 390, ALBUQUERQUE, NM 87109-3401
(505) 823-1805
(505) 823-1844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82-226
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31807
—
NM
Enumeration date
07/08/2006
Last updated
08/25/2014
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