| NPI | 1194169011 |
|---|---|
| Doing Business As | KYMERA INDEPENDENT PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | BRENDA COTTRELL Business Systems/Credentialing Mgr 575-627-9508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2011-0207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2012-0215) |
| 207R00000X Internal Medicine (Licence: NM MD2009-0514) | |
| 207R00000X Internal Medicine (Licence: NM 89-280) | |
| 363L00000X Nurse Practitioner (Licence: NM CNP-01000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01933) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02125) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |