JONATHAN R KEVAN

ALBUQUERQUE, NM
NPI1760534861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  md2011-0623)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ID  M-9759)
Enumeration Date2007-01-17
Last Update Date2019-12-22
Business Address
Mr. JONATHAN R KEVAN MD
13701 ENCANTADO RD NE
ALBUQUERQUE, NM 87123-2275
Phone number: 505-237-8700
Mailing Address
Mr. JONATHAN R KEVAN MD
PO BOX 26028 CREDENTIALING/ CLINICIAN SERVICES
ALBUQUERQUE, NM 87125-6028
Phone number: 505-237-8700