Kim P Lark is a Family Medicine in Carlsbad, New Mexico. Kim P Lark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kim P Lark is 1023009016. The last update date is 2014-01-02.
Kim P Lark's current location address is 2402 W Pierce St, Carlsbad, New Mexico. You can contact this provider via phone number 5752349964 and fax number 5752349962. The mailing address for Kim P Lark is 2402 W Pierce St, Carlsbad, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kim P Lark |
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Address | 2402 W Pierce St, Carlsbad, New Mexico |
Phone Number | 5752349964 |
Fax Number | 5752349962 |
Sole Proprietor | Y |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1023009016 |
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Provider Enumeration Date | 2005-10-31 |
Last Updated Date | 2014-01-02 |
Provider Mailing Address Detail
Address | 2402 W Pierce St |
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City | Carlsbad |
State | New Mexico (NM) |
Post Code | 882203537 |
Phone Number | 5752349964 |
Fax Number | 5752349962 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | A110698 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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T9592 | NM | -- |
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What is the unique 10-digit identifier code assigned to Kim P Lark by the Centers for Medicare & Medicaid Services?
The Kim P Lark has been issued the NPI (National Provider Identifier) 1023009016 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kim P Lark's facilities are geographically located?
The facilities of Kim P Lark are physically situated at the following location: 2402 W Pierce St, Carlsbad, NM, 882203537.
What is Kim P Lark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kim P Lark is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023009016 to Kim P Lark?
The Centers for Medicare & Medicaid Services originally issued the 1023009016 to Kim P Lark on 2005-10-31.
As of what date were the details related to Kim P Lark most recently updated or revised?
The information pertaining to Kim P Lark, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-02.