Individual
DR. EVAN ZACHARY KAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
8322 VINTAGE DR NE, ALBUQUERQUE, NM 87122-2646
(505) 385-6098
Mailing address
8322 VINTAGE DR NE, ALBUQUERQUE, NM 87122-2646
(505) 385-6098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A1170-01
NM
2083A0100X
Aerospace Medicine Physician
A1170-01
NM
2083X0100X
Occupational Medicine Physician
Primary
A1170-01
NM
Other
Enumeration date
03/24/2006
Last updated
10/05/2010
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