Search › New Mexico › 163W00000X
Kimothy Sparks, RN, JD
NPI 1073975033 · on the registry since 2016
Practice
- Address
- 516 E Nizhoni Blvd
Gallup, NM 87301 - Phone
- (505) 722-1533
- Organisation at this address
- Gallup Indian Med Center Pharmacy
Dhhs,Phs,Naihs, Gallup Indian Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,268
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico