Provider Demographics
NPI:1932336518
Name:KLESS, KEVIN ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ALEXANDER
Last Name:KLESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 26666
Mailing Address - Street 2:PHS PROVIDER ENROLLMENT
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:505-823-8888
Mailing Address - Fax:505-823-8238
Practice Address - Street 1:5901 HARPER DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3587
Practice Address - Country:US
Practice Address - Phone:505-823-8888
Practice Address - Fax:505-823-8238
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2025-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2025-0493207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine