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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN BETTENCOURT, PA-C

Active

KEVIN BETTENCOURT, PA-C is a Physician Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1730496977 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ALBUQUERQUE, NM

Registration Details

NPI Number
1730496977
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2010 (15.783422260919 yrs)
Last Updated
Aug 15, 2016
Licenses
PA00611 (RI)
PAT9105615 (FL)
PA2011-0012 (NM)

Practice Information

Address
5901 HARPER DR NE
ALBUQUERQUE, NM, 871093589
Browse NM providers · Browse ZIP 87109
Phone
5058238233
Fax
5058238059
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

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.