Kenneth Dorsey Tisdale , LCICI, LMT #548
Contractor • Albuquerque, NM
Professional Overview & Biography Verified Profile Summary
Kenneth Tisdale, LCICI, LMT #548 is a registered healthcare professional specializing in Contractor in Albuquerque, NM. Practice services are available at 201 EUBANK BLVD NE under active NPI credentials.
Practice Location & Contact Primary Location
201 Eubank Blvd Ne
B1
Albuquerque, NM 87123
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Albuquerque, NM
Practicing in Albuquerque, NM (65 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
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).
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Massage Therapist
Licensed Massage Therapist
Marriage & Family Therapist
Master of Arts, Licensed Marriage and Family Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 201 EUBANK BLVD NE, B1, ALBUQUERQUE, NM 87123 (Tel: 5057127585)
Registered at 8400 MENAUL BLVD, 8400 MENAUL BLVD. NE. #217, ALBUQUERQUE, NM 87112 (Tel: 5057127585)
Recorded as KENNETH TISDALE, L.C.I.C.I., LMT #548
Contractor (License #LMT # 5488 in NM)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
8400 Menaul Blvd, 8400 Menaul Blvd. Ne. #217
Albuquerque, NM 87112
Phone: 5057127585
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