Kenneth Brown
Individual provider Active NPI Peer Specialist · Albuquerque, NM
NPI 1679407597 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1679407597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 2010 (NM)
- Practice address
- 13139 Central Ave NE
Albuquerque, NM 87123-3031 - Phone
- (505) 595-1607
- NPI assigned
- Jun 9, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Summit LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 2010 | NM | Yes |
Addresses
Primary practice location
13139 Central Ave NE
Albuquerque, NM 87123-3031
Mailing address
13139 Central Ave NE
Albuquerque, NM 87123-3031
Phone (505) 595-1607
Other providers in Albuquerque, NM
- Joan Brown
- Karen Brown
- Karen Lyn Brown
- Kate Julianna Brown
- Kathryn Brown
- Kimberly Brown
- Kylene Brown
- Lee Brown
- Madison Brown
- Maile Ana Brown
All providers in Albuquerque, NM · Peer Specialist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.