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Individual

WILLIAM J. KAFKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2301 INDIAN WELLS RD STE B, ALAMOGORDO, NM 88310-4611
(575) 437-0890
Mailing address
PO BOX 222187, EL PASO, TX 79913-5187
(915) 219-4300
(915) 519-4300

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
88-31
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050049296
RR MEDICARE
05
26468
NM
01
NM003069
BCBS OF NM
NM
Enumeration date
02/23/2006
Last updated
06/16/2020
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