Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIM P LARK, D.O.

Active Sole Proprietor

DR. KIM P LARK, D.O. is a Family Medicine healthcare provider located in CARLSBAD, New Mexico. NPI 1023009016 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CARLSBAD, NM

Registration Details

NPI Number: 1023009016
Provider Type: Individual
Gender: Female
NPI Issued: Oct 31, 2005 (20.744597590057 yrs)
Last Updated: Jan 2, 2014
License: A110698 (NM)
Sole Proprietor: Yes

Practice Information

Address: 2402 W PIERCE ST

SUITE 4-A

CARLSBAD, NM, 882203537
Browse NM providers · Browse ZIP 88220
Phone: 5752349964
Fax: 5752349962
Primary Specialty: Family Medicine
207Q00000X

Other Family Medicine Providers in CARLSBAD, NM

Name	Credential	NPI
DR. DANIEL FOREST TAYLOR	M.D.	1194723494
NADINE B DUBRULE	MD	1730162629
DR. MARTA C. GALLEGOS	M.D.	1366463309
DR. NII TETTEH TSURU ADDY	D.O	1790855732
DR. HERBERT UZOMA OJIAKU	M.D.	1619047610
DR. FARES HASHEM YASIN	M.D	1508129727

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.