Kenneth Dorsey Tisdale, L.C.I.C.I., LMT #548 is a contractor in Albuquerque, NM. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Kenneth Dorsey Tisdale, L.C.I.C.I., LMT #548 NPI is 1962709956. 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:
201 EUBANK BLVD NE
B1
ALBUQUERQUE, NM
ZIP 87123
Phone: (505) 712-7585
The enumeration date for this NPI number is 2/28/2011 and was last updated on 2/28/2011.