Kim P Lark D.O.

NPI 1023009016 - Family Medicine - 207Q00000X

NPI Details
NPI 1023009016
Gender Female
Enumeration Date 10/31/2005
Last Updated 01/02/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2402 W PIERCE ST
SUITE 4-A
CARLSBAD NM, 88220-3537, US
Phone (575) 234-9964
Fax (575) 234-9962
Business Location
2402 W PIERCE ST
SUITE 4-A
CARLSBAD NM, 88220-3537, US
Phone (575) 234-9964
Fax (575) 234-9962
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number A110698
Remove 1023009016 NPI Number
 

According to our database, Dr. Kim P Lark D.O. NPI is 1023009016, taxonomy code is 207Q00000X and license number is A110698, license state is located at New Mexico. Kim P Lark D.O. physically located at 2402 W Pierce St, Carlsbad NM, 88220-3537. NPI Number Kim P Lark D.O. has the Individual type.

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1023009016 NPI number is provided on an as is basis without warranty of any kind. 1023009016 is maintained by the National Plan & Provider Enumeration System. The contents of Kim P Lark D.O. are for informational purposes only.