Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kim E Pershall, MD

Individual provider Specialist · NPI 1497751663

Dr. Kim E Pershall, MD is an Otolaryngology in Lubbock, Texas. Graduated from University of New Mexico School of Medicine in 1981, 45 years ago. Practices with Kim E Pershall MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in New Mexico and Texas.

Years since qualifying
45
Trained at
University of New Mexico School of Medicine
Licensed in
NM, TX
In the registry since
2005
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3811 24th St
Lubbock, TX 79410-1813
Phone: (806) 796-0202
Fax: (806) 796-0496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence J3574 (TX)
Specialist Taxonomy 174400000X · Licence J3574 (TX)
Specialist Taxonomy 174400000X · Licence 86103 (NM)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence J3574 (TX)
Otolaryngic Allergy Physician Taxonomy 207YX0602X · Licence J3574 (TX)

Record details

NPI number1497751663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESJanuary 31, 2011
Mailing address3811 24th Street, Lubbock, TX 79410-1813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesALLERGY/IMMUNOLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Kim E Pershall Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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