Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY M ZACCHEO, PA
Active Sole ProprietorKENNEDY M ZACCHEO, PA is a Physician Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1417538117 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1417538117
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2021 (5.3414452308477 yrs)
- Last Updated
- Oct 13, 2022
- License
-
PA2022-0056 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2100 LOUISIANA BLVD NE STE 410ALBUQUERQUE, NM, 871105412Browse NM providers · Browse ZIP 87110
- Phone
- 5057244300
- Fax
- 5057244300
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MIKAL ANN SMOKER | PA-C | 1164425260 |
| MS. MARCIA STARNS | PAC | 1841291531 |
| DALLAS R SHECKLER | PA | 1871586586 |
| SHARI E FREYER | PA C | 1134113723 |
| MICHAEL D BRENNAND | PA-C | 1013905140 |
| MR. PETER DAVID PACHECO | RPH., PA-C | 1760471395 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.