Maben, Kevin C
Maben, Kevin C is an individual health care provider with primary practice located at Pmg High Resort 4005 4005 High Resort Blvd, Rio Rancho NM 87124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maben, Kevin C can be contacted via phone (505) 462-6000.Contact Information
Primary practice address
Pmg High Resort 4005 4005 High Resort Blvd
Rio Rancho NM 87124
Phone: (505) 462-6000
Fax: (505) 462-8470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD2007-0510 | New Mexico |
Profile Details
| NPI number | 1902916190 |
|---|---|
| LBN Legal business name | Maben, Kevin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 14th, 2008 - about 16 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 | 1902916190 | NPPES |
| New Mexico | MEDICAID | 61427853 |
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