Individual
KEVIN JANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 4660, ALBUQUERQUE, NM 87106-4924
(505) 563-6530
(505) 224-7479
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 563-6530
(505) 224-7479
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD2025-0696
NM
Other
Enumeration date
05/25/2016
Last updated
05/07/2026
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