Cherie Lanham Kimbrough, CPNP | |
100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | |
(636) 625-5300 | |
(636) 625-5376 |
Full Name | Cherie Lanham Kimbrough |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 100 Medical Plaza Dr, Lake Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437415551 | NPI | - | NPPES |
507602605 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 2012008398 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Mailing Address | Practice Location Address |
---|---|
Cherie Lanham Kimbrough, CPNP 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 Ph: (636) 625-5300 | Cherie Lanham Kimbrough, CPNP 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 Ph: (636) 625-5300 |
Mrs. Michelle Lynn Breneman, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100 | |
Jaclyn Morris, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 310, Lake Saint Louis, MO 63367 Phone: 636-625-2662 | |
Adam Lee Trimpe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021 | |
Ms. Melanie V Maze, ANP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Medical Plaza, Suite 100, Lake Saint Louis, MO 63367 Phone: 636-639-8600 Fax: 636-639-8676 | |
Lisa A Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022 | |
Spencer John Mares, FNP-C, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5200 |