Kathleen S Prilliman, ARNP | |
750 W D Ave, Kingman, KS 67068-1266 | |
(620) 532-3147 | |
Not Available |
Full Name | Kathleen S Prilliman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 750 W D Ave, Kingman, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063467728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 44372 (Kansas) | Primary |
Entity Name | Life Aligned Regenerative Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316438351 PECOS PAC ID: 7214286699 Enrollment ID: O20180817001459 |
Entity Name | Four Corners Emergency Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144793464 PECOS PAC ID: 5092053769 Enrollment ID: O20190205003475 |
Mailing Address | Practice Location Address |
---|---|
Kathleen S Prilliman, ARNP 2102 Hardtner St, Kiowa, KS 67070-8521 Ph: (620) 825-4522 | Kathleen S Prilliman, ARNP 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-3147 |
Kathleen L Smith, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-493-0002 | |
Jessica Marie Holloway, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 | |
Mrs. Logan Leigh Hageman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Ellen Kathleen Mcdonald, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 N Cedar, Kingman, KS 67068 Phone: 620-532-3101 Fax: 620-532-3427 | |
Dr. Laura C Bevis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Dawna Kay Huhman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 Fax: 620-625-4458 |