Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN RYAN PUCKETT I, LSAA
ActiveKEVIN RYAN PUCKETT I, LSAA is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1881207496 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1881207496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2020 (6.0049969062536 yrs)
- Last Updated
- Aug 25, 2020
- License
-
CSA0210841 (NM)
Practice Information
- Address
-
1528 FIVE POINTS RD SWALBUQUERQUE, NM, 871053179Browse NM providers · Browse ZIP 87105
- Phone
- 5052426919
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
Other Addiction (Substance Use Disorder) Psychologist Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DEBORAH JOHNSON | — | 1952253429 |
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.