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 11 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 |
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