Individual
KENNY FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 DP RD APT 227, LOS ALAMOS, NM 87544-3420
(740) 646-0127
Mailing address
126 DP RD APT 227, LOS ALAMOS, NM 87544-3420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
07/07/2026
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