Individual
MR. KENNETH BARNCASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
13 E SKY LOOP, ROSWELL, NM 88201-8336
(505) 400-4143
Mailing address
13 E SKY LOOP, ROSWELL, NM 88201-8336
(505) 400-4143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58900
NM
363LA2100X
Acute Care Nurse Practitioner
58900
NM
363LA2200X
Adult Health Nurse Practitioner
58900
NM
363LC0200X
Critical Care Medicine Nurse Practitioner
58900
NM
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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