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KIM P LARK DO PC
NPI 1720275357
Family Medicine in Carlsbad, NM

Active since September 27, 2007CLIA 32D0954294 · Waiver
2402 W PIERCE ST, STE 4A, CARLSBAD, NM 88220(505) 234-9964(505) 234-9962 Get Directions Write a Review

NPPES record last updated: November 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim P Lark Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM P LARK DO PC (NPI 1720275357) is a healthcare organization registered as a family medicine in Carlsbad, New Mexico and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Christi Michelle Yerby, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720275357
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKIM P LARK DO PC
Location Address2402 W PIERCE ST, STE 4ACarlsbad, NM 88220-3537
Mailing Address2402 W Pierce St, Ste 4aCarlsbad, NM 88220-3537 · (505) 234-9964 · Fax (505) 234-9962
Phone(505) 234-9964
Fax(505) 234-9962
Organization SubpartNo
Authorized OfficialChristi Michelle YerbyBilling Specialist · (505) 234-9964
Enumeration DateSeptember 27, 2007
Last NPPES UpdateNovember 12, 2007
✔ NPI 1720275357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 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 is not limited by age, sex, organ system, or disease entity.
2402 W PIERCE ST, Carlsbad, NM 88220
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Other Identifiers 2

OtherNM004378NM · Bcbs
Medicaid00T9592NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0954294

Kim P Lark Do · Carlsbad, NM
Active · expires Nov 22, 2026
CLIA Number32D0954294
Laboratory TypePhysician Office
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorKim P. Lark Do
Laboratory Phone(505) 234-9964
Laboratory LocationKim P Lark Do2402 W Pierce Ste 4A, Carlsbad, NM 88220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN (JACK) SILVIO VOLPATO JR. RPH,PHC
Pharmacist
2402 W PIERCE ST, 1-A
CARLSBAD, NM 88220
Eddy County (505) 887-6611
DR. KIM P LARK D.O.
Family Medicine
2402 W PIERCE ST, SUITE 4-A
CARLSBAD, NM 88220
Eddy County (575) 234-9964
CRYSTAL MULLINS FNP-C
Nurse Practitioner (Family)
2402 W PIERCE ST, SUITE 6A
CARLSBAD, NM 88220
Eddy County (575) 689-8700
JILL FIERRO FNP
Nurse Practitioner (Family)
2402 W PIERCE ST, STE 4A
CARLSBAD, NM 88220
Eddy County (575) 234-9964
RANEY PEDIATRICS
Pediatrics
2402 W PIERCE ST, SUITE 3 C
CARLSBAD, NM 88220
Eddy County (575) 887-0530
DR. APOORVA REDDY TIPARTI PHARM.D.
Pharmacist
2402 W PIERCE ST, SUITE 1A
CARLSBAD, NM 88220
Eddy County (575) 887-6611
DILIP D. MADNANI, M.D., LLC
Otolaryngology
2402 W PIERCE ST, SUITE 3C
CARLSBAD, NM 88220
Eddy County (575) 887-9528
MRS. HEIDI K. GOODEY RPH
Pharmacist
2402 W PIERCE ST
CARLSBAD, NM 88220
Eddy County (505) 885-2979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim P Lark Do PC's NPI number?

The NPI number for Kim P Lark Do PC is 1720275357. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Kim P Lark Do PC located?

Kim P Lark Do PC is located at 2402 W Pierce St Ste 4A, Carlsbad, NM 88220. The listed phone number is (505) 234-9964.

What is Kim P Lark Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kim P Lark Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0954294) is associated with this NPI, valid through November 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kim P Lark Do PC was last updated on November 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.