Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Ryan Puckett I, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1881207496

Kevin Ryan Puckett I, LSAA is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2020.

Licensed in
NM
In the registry since
2020

Practice location Address checks out

1528 Five Points Rd SW
Albuquerque, NM 87105-3179
Phone: (505) 242-6919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CSA0210841 (NM)

Record details

NPI number1881207496
Entity typeIndividual (Type 1)
GenderMale
Credentials LSAA
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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