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NPI Profile for KENNETH D TISDALE in ALBUQUERQUE, NM.
A contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Contractor |
171W00000X |
| NPI # | 1962709956 |
|
| Status | Active | |
| Credentials | L.C.I.C.I., LMT #548 | |
| Entity | Individual | |
| Enumeration date | 02/28/2011 | |
| Last updated | 02/28/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENNETH D TISDALE
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KENNETH D TISDALE, L.C.I.C.I., LMT #548