Individual
KENT HOWARD MAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4700
Mailing address
28 MONTEREY RD, SANTA FE, NM 87508-8287
(505) 577-7422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-77876
NM
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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