Individual provider · Type 1 NPI

Keaton Robert Whitcomb, PA-C

Medical Physician Assistant · Albuquerque, NM

NPI number 1841957396 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Other practice locations

  • 7520 Montgomery Blvd NE Bldg D5, Albuquerque, NM 87109-1533 · (505) 884-7070
  • 7704 2nd St NW, Albuquerque, NM 87107-6755 · (505) 890-1458

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA2023-0238 (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1841957396

Keaton Robert Whitcomb, PA-C's National Provider Identifier is 1841957396, issued on Nov 19, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 24, 2024.