Mrs Kelley Lynn Whitecotton, is a
Licensed Psychiatric Technician based in Grass Valley, California. Mrs Kelley Lynn Whitecotton is licensed to practice in California (license number PT40257) and her current practice location is
500 Crown Point Cir, Grass Valley, California. She can be reached at her office (for appointments etc.) via phone at
(530) 265-1437.
NPI number for Mrs Kelley Lynn Whitecotton is 1689021453 and her current mailing address is 500 Crown Point Cir, Grass Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689021453.
Healthcare Provider's Profile
Full Name | Mrs Kelley Lynn Whitecotton |
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Gender | Female |
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Speciality | Licensed Psychiatric Technician |
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Location | 500 Crown Point Cir, Grass Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689021453
- Provider Enumeration Date: 05/20/2016
- Last Update Date: 01/31/2017
Medical Identifiers
Medical identifiers for Mrs Kelley Lynn Whitecotton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689021453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
167G00000X | Licensed Psychiatric Technician | PT40257 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelley Lynn Whitecotton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelley Lynn Whitecotton, 500 Crown Point Cir, Grass Valley, CA 95945-9561 Ph: (530) 470-2425 | Mrs Kelley Lynn Whitecotton, 500 Crown Point Cir, Grass Valley, CA 95945 Ph: (530) 265-1437 |
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