K & L Associates, PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MD2003-0686 Issued in NM

Legal business name

K & L ASSOCIATES, PC

Practice address

656 W Maple St
Farmington, NM 87401-5968

Phone

(505) 327-2206

Fax

(505) 325-4969

NPI assigned

Jul 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Dale Slack, MD.

Title

President

Phone

(505) 327-2206

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033125828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 W MAPLE STREET",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-327-2206",
            "fax_number": "505-325-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015968",
            "telephone_number": "505-327-2206",
            "fax_number": "505-325-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & L ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-327-2206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "MD2003-0686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41035259",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aref Kabbara, MD
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• Damon Kalcich, D.O.
• Barbara S Kamps, CRNA

• Health Maintenance Organization in Farmington, NM
• Providers in Farmington, NM by specialty
• Health Maintenance Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.