Provider Demographics
NPI:1679519680
Name:MCFARLING, HAROLD KENT (DO)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:KENT
Last Name:MCFARLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-2606
Mailing Address - Country:US
Mailing Address - Phone:505-326-1922
Mailing Address - Fax:505-327-4239
Practice Address - Street 1:503 N AUBURN AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2606
Practice Address - Country:US
Practice Address - Phone:505-326-1922
Practice Address - Fax:505-327-4239
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA871-88207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM41228Medicaid
NM41228Medicaid
NM700521086Medicare PIN