Individual provider · Type 1 NPI

Kennedy M. Zaccheo, PA

Physician Assistant · Albuquerque, NM

NPI number 1417538117 Active

Practice location

2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412

Call (505) 724-4300 Map

Fax (505) 724-4300

Mailing address

265 Clarendon St Apt 4
Boston, MA 02116-2012

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2022-0056 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417538117

Kennedy M. Zaccheo, PA's National Provider Identifier is 1417538117, issued on Apr 15, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 13, 2022.