Infinity Center Llc | |
340 17th St Suite 2 Ashland KY 41101-7628 | |
(606) 420-4070 | |
(606) 420-4071 |
Full Name | Infinity Center Llc |
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Speciality | Psychiatry & Neurology |
Location | 340 17th St, Ashland, Kentucky |
Authorized Official Name and Position | Will Carter (OWNER) |
Authorized Official Contact | 6064204070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infinity Center Llc 340 17th St Suite 2 Ashland KY 41101-7628 Ph: (606) 420-4070 | Infinity Center Llc 340 17th St Suite 2 Ashland KY 41101-7628 Ph: (606) 420-4070 |
NPI Number | 1093119539 |
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Provider Enumeration Date | 10/13/2014 |
Last Update Date | 04/22/2019 |
Medicare PECOS PAC ID | 8820322092 |
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Medicare Enrollment ID | O20190620003491 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093119539 | NPI | - | NPPES |
Provider Name | Stacy Hasenauer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952635260 PECOS PAC ID: 1355489261 Enrollment ID: I20091113000452 |
Provider Name | Pamela Neal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548225881 PECOS PAC ID: 1052338530 Enrollment ID: I20140207000148 |
Provider Name | Stephen Matthew Perkey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356658488 PECOS PAC ID: 1759524721 Enrollment ID: I20150722005763 |
Provider Name | Barbara Collier Hale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073982591 PECOS PAC ID: 0648580209 Enrollment ID: I20151110002994 |
Provider Name | Stephanie Rooker Kazee |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235564972 PECOS PAC ID: 8325372840 Enrollment ID: I20190702003012 |
Provider Name | Kiran Shashi Devaraj |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003878984 PECOS PAC ID: 6204857105 Enrollment ID: I20200331002372 |
Provider Name | Megan Jane Mcdowell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922694157 PECOS PAC ID: 9335552520 Enrollment ID: I20210107001094 |
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