Karen Kennicott
MD | Pediatrics | Female
Karen Kennicott, MD is a Albuquerque, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Karen Kennicott is
5901 Harper Dr Ne, Pmg Northside, Albuquerque, New Mexico - 87109-3587. She can be contacted on phone at
505-823-8888 and fax number 505-823-8275.
Karen Kennicott is a sole proprietor of her business.
NPI number (Unique professional ID) for Karen Kennicott is
1679602296 which was assigned by NPPES on 02 Mar, 2007 and it was last updated on 15 Jul, 2008.
Karen Kennicott license number is
8792 for Pediatrics (208000000X) in New Mexico.
Karen Kennicott is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Karen Kennicott basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Karen Kennicott |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Karen Kennicott address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5901 Harper Dr Ne, Pmg Northside
Albuquerque, NM, 87109-3587
United States |
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| Phone Number : | 505-823-8888 |
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| Fax Number : | 505-823-8275 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679602296 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Mar, 2007 |
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| Last Updated On : | 15 Jul, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Karen Kennicott are as mentioned. Primary taxonomy code for Karen Kennicott, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 8792 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Karen Kennicott such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 39537 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 26666, Phs Provider Enrollment
Albuquerque, NM, 87125-6666
United States |
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| Phone Number : | 505-923-5356 |
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| Fax Number : | 505-923-5354 |
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Business Location:
Patients can refer following map for directions to
Karen Kennicott practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.