| Kim P Lark DO PC | |
|
2402 W Pierce St Ste 4a Carlsbad NM 88220-3537 | |
| (505) 234-9964 | |
| (505) 234-9962 |
| Full Name | Kim P Lark DO PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2402 W Pierce St, Carlsbad, New Mexico |
| Authorized Official Name and Position | Christi Michelle Yerby (BILLING SPECIALIST) |
| Authorized Official Contact | 5052349964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim P Lark DO PC 2402 W Pierce St Ste 4a Carlsbad NM 88220-3537 Ph: (505) 234-9964 | Kim P Lark DO PC 2402 W Pierce St Ste 4a Carlsbad NM 88220-3537 Ph: (505) 234-9964 |
| NPI Number | 1720275357 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 11/12/2007 |
| Medicare PECOS PAC ID | 7416933106 |
|---|---|
| Medicare Enrollment ID | O20040624001218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720275357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A110698 (New Mexico) | Primary |
| Provider Name | Kim P Lark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023009016 PECOS PAC ID: 1850377557 Enrollment ID: I20100601000618 |
Eddy Emergency Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 575-887-4170 |
Carlsbad School Based Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3000 W Church St, Carlsbad, NM 88220 Phone: 505-234-3319 Fax: 505-443-8322 |
Taddy Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 W Mermod St, Carlsbad, NM 88220 Phone: 575-885-7714 Fax: 575-885-7714 |
Carlsbad Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E. Hagerman, Carlsbad, NM 88220 Phone: 575-885-2180 |
Family Practice LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Alameda St, Carlsbad, NM 88220 Phone: 505-234-2008 Fax: 505-885-1075 |
Allied Health & Wellness, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Boyd Dr, Carlsbad, NM 88220 Phone: 575-689-8233 |