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NPI Code Detail

MEDICARE: KM CARES, LLC

MEDICARE: KM CARES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1518675974
Entity Type Code : Organization
Provider Name (Legal Business Name) : KM CARES, LLC
Provider Business Mailing Address
First Line : PO BOX 40583
Second Line :
City : BELFAST
State : ME
Zip : 04915-1256
Country : US
Telephone Number : 575-973-2364
Fax Number :
Provider Business Practice Location Address
First Line : 2920 CARLISLE BLVD NE BLDG B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-2867
Country : US
Telephone Number : 575-973-2364
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : KAYLA RUTLEDGE
Credential : MA
Telephone Number : 575-973-2364
Provider Enumeration Date : 11/14/2022
Last Update Date : 04/20/2026

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Directions to “KM CARES, LLC ” Practice Location

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