Healthcare Provider Details

I. General information

NPI: 1154259653
Provider Name (Legal Business Name): KMR & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 S TELSHOR BLVD STE Q102
LAS CRUCES NM
88011-4681
US

IV. Provider business mailing address

4708 RUBICON RD
LAS CRUCES NM
88012-0852
US

V. Phone/Fax

Practice location:
  • Phone: 575-888-4666
  • Fax:
Mailing address:
  • Phone: 575-694-0122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. KIMBERLY MEJIA-RIOS
Title or Position: OWNER
Credential:
Phone: 575-694-0122