Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH RIVERA, PHYSICIAN ASSISTANT
ActiveKENNETH RIVERA, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in CANNON AFB, New Mexico. NPI 1780399501 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CANNON AFB, NM
Registration Details
- NPI Number
- 1780399501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2023 (3.5409135019676 yrs)
- Last Updated
- Mar 8, 2024
Practice Information
- Address
-
104 W D. L. INGRAM AVECANNON AFB, NM, 88101Browse NM providers · Browse ZIP 88101
- Phone
- 5757842778
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CANNON AFB, NM
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD JOSEPH TRIGG | PA-C | 1104071729 |
| MRS. JODI LYNN POST | P.A. | 1356656490 |
| KATHRYN DEARING | PA-C | 1518325190 |
| TRISHA E GIBBONS | PA-C, APA | 1841769668 |
| EMMANUEL PARKER AFARI | PA | 1386321388 |
| KATE BLESSIE ACOB | — | 1669246211 |
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.