Kelly Lee Parson
Individual provider Active NPI Physical Therapist · Lovington, NM
NPI 1962500405 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962500405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 544 (NM)
- Practice address
- 18 W Washington Ave
Lovington, NM 88260-4023 - Phone
- (505) 739-2705
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovington Municipal Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 544 | NM | Yes |
Addresses
Primary practice location
18 W Washington Ave
Lovington, NM 88260-4023
Mailing address
1103 W Avenue I
Lovington, NM 88260-5019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J7876 | Medicaid | NM |
Other providers in Lovington, NM
- Tiffany Marie Ortiz
- Ademola Osundeko
- Alejandra Parra
- Azucena M Parra
- Rocio Parra
- Nancy N Peacock
- Michael R Pena
- Brenda D'Ann Perry
- Candy L Peters
- Cheryle Lynne Phelan
All providers in Lovington, NM · Physical Therapist 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 Jul 8, 2007. 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.