Individual provider · Type 1 NPI

Kevin Bettencourt, PA-C

Physician Assistant · Albuquerque, NM

NPI number 1730496977 Active

Practice location

5901 Harper Dr NE
Albuquerque, NM 87109-3589

Call (505) 823-8233 Map

Fax (505) 823-8059

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA00611 (RI)
Physician Assistant 363A00000XPAT9105615 (FL)
Physician Assistant Primary 363A00000XPA2011-0012 (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 1730496977

Kevin Bettencourt, PA-C's National Provider Identifier is 1730496977, issued on Sep 9, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 15, 2016.