Kimberly Pelkey
Individual provider Active NPI Community Health Worker · Moriarty, NM
NPI 1710370556 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1710370556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 717 W Abrahames Rd
Suite D
Moriarty, NM 87035-8197 - Phone
- (505) 384-0220
- Fax
- (505) 384-0222
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
717 W Abrahames Rd
Suite D
Moriarty, NM 87035-8197
Mailing address
PO Box 1612
Moriarty, NM 87035-1612
Phone (505) 384-0220
Other providers in Moriarty, NM
- Julie Kay Nowotny
- Sharon J. Ormiston
- Victoria Pace
- Douglas William Pai
- Phillip Pasena
- Ginger Peoples
- Kathleen M Phillips
- John Mark Pope
- Positive Change Counseling, LLC
- Rachael P Rael
All providers in Moriarty, NM · Community Health Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.