| KM Cares, LLC | |
|
2920 Carlisle Blvd Ne Bldg B Albuquerque NM 87110-2867 | |
| (575) 973-2364 | |
| Not Available |
| Full Name | KM Cares, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2920 Carlisle Blvd Ne Bldg B, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kayla Rutledge (OFFICE MANAGER) |
| Authorized Official Contact | 5759732364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| KM Cares, LLC Po Box 40583 Belfast ME 04915-1256 Ph: (575) 973-2364 | KM Cares, LLC 2920 Carlisle Blvd Ne Bldg B Albuquerque NM 87110-2867 Ph: (575) 973-2364 |
| NPI Number | 1518675974 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 04/30/2026 |
| Certification Date | 04/30/2026 |
| Medicare PECOS PAC ID | 4082151618 |
|---|---|
| Medicare Enrollment ID | O20240801000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518675974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Kaaren L Mahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922193192 PECOS PAC ID: 3375596240 Enrollment ID: I20050422000028 |
| Provider Name | Jennifer Marie Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881387736 PECOS PAC ID: 7911351325 Enrollment ID: I20231003002531 |
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