Kailey Kirkes
Individual provider Active NPI Pharmacist · Hobbs, NM
NPI 1780109215 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1780109215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00008748 (NM)
- Practice address
- 2402 N Grimes St
Hobbs, NM 88240-2109 - Phone
- (575) 392-4503
- NPI assigned
- Aug 5, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008748 | NM | MD | Pharmacist |
| 60665 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60665 | TX | |
| Pharmacist | 183500000X | RP00008748 | NM | Yes |
Addresses
Primary practice location
2402 N Grimes St
Hobbs, NM 88240-2109
Mailing address
2402 N Grimes
Hobbs, NM 88240
Phone (575) 392-4503
Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. 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.