KENNETH DORSEY TISDALE L.C.I.C.I., LMT #548
NPI 1962709956
Contractor in Albuquerque, NM
About Kenneth Dorsey Tisdale L.c.i.c.i., Lmt #548 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH DORSEY TISDALE L.C.I.C.I., LMT #548 (NPI 1962709956) is an individual contractor provider in Albuquerque, New Mexico, licensed in New Mexico (LMT # 5488) and active in the NPI registry since February 2011.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87123
ALBUQUERQUE, NM 87123
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 Kenneth Tisdale's NPI number?
The NPI number for Kenneth Tisdale is 1962709956. It was assigned to this individual provider in the NPPES registry on February 28, 2011.
Where is Kenneth Tisdale located?
Kenneth Tisdale practices at 201 Eubank Blvd NE B1, Albuquerque, NM 87123. The listed phone number is (505) 712-7585.
What is Kenneth Tisdale's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
When was this NPI record last updated?
The NPPES record for Kenneth Tisdale was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.