Kephart, Willis H.
Kephart, Willis H. is an individual health care provider with primary practice located at 4705 Montgomery Blvd Ne Ste 301, Albuquerque NM 87109-1226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Kephart, Willis H. can be contacted via phone (505) 727-4500.Contact Information
Primary practice address
4705 Montgomery Blvd Ne Ste 301
Albuquerque NM 87109-1226
Phone: (505) 727-4500
Fax: (505) 727-4505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 2000165660 | Missouri |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 81-243 | New Mexico |
Profile Details
| NPI number | 1306872940 |
|---|---|
| LBN Legal business name | Kephart, Willis H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Aug 10th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306872940 | NPPES |
| Kansas | MEDICAID | 100327540B | |
| Kansas | MEDICAID | 595985805 | |
| Kansas | MEDICAID | 540568508 | |
| Kansas | MEDICAID | 32771 | |
| Kansas | MEDICAID | 599225901 | |
| Kansas | MEDICAID | 100188410A | |
| Kansas | MEDICAID | 90036022 | |
| Kansas | MEDICAID | 205083603 | |
| Kansas | MEDICAID | 595956103 | |
| Kansas | MEDICAID | 595956202 | |
| Kansas | MEDICAID | 010568509 | |
| Kansas | MEDICAID | 595956400 |
Popular Providers
-
Buchen, Elizabeth
Unm Hospital Obstetricsgynelgology 2211 Lomas Blvd Ne, Albuquerque NM 87131-0001 -
Chongsiriwatana, Kristina Marie
4640 Jefferson Ln Ne , Albuquerque NM 87109-2116 -
Burkhardt, Gillian
Msc 10 5580 1 University Of New Mexico, Albuquerque NM 87131-0001 -
Godinez, Milton G
7704 2Nd St Nw Ste A, Albuquerque NM 87107 -
Wong, Jason
4801 Mcmahon Blvd Nw Ste 101 , Albuquerque NM 87114-5090 -
Friedman, Sara S
883 Lead Ave Se Ste B , Albuquerque NM 87102-3876 -
Solis-Gilmore, Erika
6320 Riverside Plaza Ln Nw Ste A , Albuquerque NM 87120-1710 -
Singh, Rameet
2211 Lomas Blvd Ne 4Th Floor Ambulatory Care Ctr, Albuquerque NM 87106-2719