| Doctor Name: | KIMBERLY A LUNAR |
| NPI Number: | 1154791077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | CNP-02774 |
| Business Practice Address: | 2150 Highway 54 S Alamogordo, NM - 883107330 |
| Business Phone Number: | 5754438133 |
| Business Fax Number: | 5754438055 |
| Mailing Address: | Po Box 370, HATCH |
| State: | NM |
| Postal Code: | 879370370 |
| Phone Number: | 5752673280 |
| Fax Number: | 5752671747 |
| NPI Enumeration Date: | 10/05/2015 |
| NPI Last Update Date: | 10/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | CNP-02774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |