Individual
DR. KEVIN T DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 266-8704
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 266-8704
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
89-28
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16279
—
NM
Enumeration date
02/17/2006
Last updated
08/17/2016
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