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DONALD LEE KETTWICH M.D.
NPI 1124179486
Urology in Albuquerque, NM

Active since January 15, 2007
711 ENCINO PL NE, SUITE E, ALBUQUERQUE, NM 87102(505) 245-5737(505) 245-5739 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald Lee Kettwich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD LEE KETTWICH M.D. (NPI 1124179486) is an individual urology provider in Albuquerque, New Mexico, licensed in New Mexico (76-208) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124179486
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDONALD LEE KETTWICHCredential: M.D.
Location Address711 ENCINO PL NE, SUITE EAlbuquerque, NM 87102-2619
Mailing Address711 Encino Pl Ne, Suite EAlbuquerque, NM 87102-2619 · (505) 245-5737 · Fax (505) 245-5739
Phone(505) 245-5737
Fax(505) 245-5739
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateMay 23, 2008
✔ NPI 1124179486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NM · 76-208
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
711 ENCINO PL NE, Albuquerque, NM 87102
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Other Identifiers 20

Other85-0284119NM · Aarp
Medicare PIN335731901NM
Other85-0284119NM · E.b.c.
Other85-0284119NM · Ibew-neca
Other85-0284119NM · John Alden
Other85-0284119NM · Uprehs
Other85-0284119NM · Tricare For Life
Other85-0284119NM · United American
Other85-0284119NM · Cigna
Other85-0284119NM · Aetna
Medicaid00015941NM
Other85-0284119NM · N.m. Pipe Trades
Other85-0284119NM · Lovelace Health Plan
Medicare ID-Type Unspecified826341273NM · Railroad Medicare
Other85-0284119NM · Geha
Other85-0284119NM · United Healthcare
Other201005185NM · Presbyterian Health Plan
Other00NM019E05NM · Blue Cross-blue Shield-nm
Other85-0284119NM · Principal Life Ins.
Medicare UPINC97883NM

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW MEXICO SURGICAL ASSOCIATES, PA
Specialist
711 ENCINO PL NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 843-7901
SCOTT BROWN MD LLC
Family Medicine
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Bernalillo County (505) 265-2244
JAMES M. WILTERDING, M.D., LLC
Clinic/Center (Primary Care)
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Bernalillo County (505) 265-2244
GEORGE HIGGINS FAMILY PRACTICE LLC
Clinic/Center
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Bernalillo County (505) 314-3142
SCOTT BROWN MD
Family Medicine
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Bernalillo County (505) 265-2244
DR. THOMAS HENRY BIEN PH.D
Psychologist
711 ENCINO PL NE, SUITE D
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-2603
SHAUNA LYNN MONTOYA FNP-C
Nurse Practitioner (Family)
711 ENCINO PL NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-7400
PODIATRY ASSOCIATES OF NEW MEXICO LTD
Podiatrist (Foot & Ankle Surgery)
711 ENCINO PL NE, SUITE G
ALBUQUERQUE, NM 87102
Bernalillo County (505) 243-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Kettwich's NPI number?

The NPI number for Donald Kettwich is 1124179486. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Donald Kettwich located?

Donald Kettwich practices at 711 Encino Pl NE Suite E, Albuquerque, NM 87102. The listed phone number is (505) 245-5737.

What is Donald Kettwich's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Donald Kettwich was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.