Himmel, Kenneth S

Himmel, Kenneth S is an individual health care provider with primary practice located at 5757 Harper Drive Ne , Albuquerque NM 87109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Himmel, Kenneth S can be contacted via phone (505) 888-5757.

Contact Information

Primary practice address
5757 Harper Drive Ne Albuquerque NM 87109
Fax: (505) 889-3589
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2006-0146 New Mexico

Profile Details

NPI number 1972567154
LBN Legal business name Himmel, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Apr 25th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972567154 NPPES
New Mexico Other NM001H33 BC BS OF NM
New Mexico Other P00343296 BC BS OF NM
New Mexico MEDICAID 115638 BC BS OF NM
New Mexico MEDICAID 70308233 BC BS OF NM

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