Individual
KEVIN FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0025
NM
Other
Enumeration date
06/12/2022
Last updated
04/19/2023
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