Healthcare Provider Details

I. General information

NPI: 1972448587
Provider Name (Legal Business Name): KARR KARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18803 EL BORDO RD SE # 1351
DEMING NM
88030-2180
US

IV. Provider business mailing address

18803 EL BORDO RD SE
DEMING NM
88030-2180
US

V. Phone/Fax

Practice location:
  • Phone: 913-702-5579
  • Fax:
Mailing address:
  • Phone: 913-702-5579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LISA D KARR
Title or Position: OWNER/PRESIDENT
Credential: NP
Phone: 913-702-5579