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Search › New Mexico › 164W00000X

Kendra Clark

NPI 1922923291 · on the registry since 2026

Practice

Address
13139 Central Ave Ne
Albuquerque, NM 87123
Phone
(505) 595-1607
Organisation at this address
Epic Pathway Llc
Grand Summit Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
117

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
172V00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-13

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