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WILLIS H. KEPHART M.D. NPI 1306872940


NPI Information

NPI: 1306872940
Provider Name: WILLIS H. KEPHART, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
4705 MONTGOMERY BLVD NE
STE 301
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 727-4500
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Willis H. Kephart, M.D. is an obstetrics gynecology in Albuquerque, NM. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Willis H. Kephart, M.D. NPI is 1306872940. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4705 MONTGOMERY BLVD NE
STE 301
ALBUQUERQUE, NM
ZIP 87109-226
Phone: (505) 727-4500
Fax: (505) 727-4505

The enumeration date for this NPI number is 6/24/2006 and was last updated on 8/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology2000165660MISSOURINo
2207V00000XObstetrics & Gynecology81-243NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010568509MEDICAIDMISSOURI
2595956202MEDICAIDMISSOURI
3P27000004MEDICARE PIN
4595956103MEDICAIDMISSOURI
5100188410AMEDICAIDOKLAHOMA
6268551MEDICARE OSCAR/CERTIFICATION
7B90924MEDICARE UPIN
8599225901MEDICAIDMISSOURI
9595985805MEDICAIDMISSOURI
10DA4239MEDICARE PIN
1190036022MEDICAIDKANSAS
12595956400MEDICAIDMISSOURI
13000094920MEDICARE PINMISSOURI
14268548MEDICARE OSCAR/CERTIFICATION
15268549MEDICARE OSCAR/CERTIFICATION
16268578MEDICARE OSCAR/CERTIFICATION
17P270000MEDICARE PIN
18261320MEDICARE PIN
19540568508MEDICAIDMISSOURI
2032771MEDICAIDNEW MEXICO
21205083603MEDICAIDMISSOURI
22100327540BMEDICAIDKANSAS
23268550MEDICARE OSCAR/CERTIFICATION
24P00720076MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.