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

MS. Ketura Preya Wisner, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1205147592

MS. Ketura Preya Wisner, DO is a Gynecological Oncology in Albuquerque, New Mexico. Qualified in 2009, 17 years ago. Practices with Southwest Women's Oncology Inc, an 11-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
17
Licensed in
NM
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5700 Harper Dr NE Ste 410
Albuquerque, NM 87109-3585
Phone: (505) 843-7813
Fax: (505) 843-6947
Show map & directions

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

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence A-2079-17 (NM)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence A-2079-17 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205147592
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGYNECOLOGICAL ONCOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southwest Women'S Oncology Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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