Kayla Withrow, APRN | |
421 Us 31w Byp, Bowling Green, KY 42101-1775 | |
(270) 782-7768 | |
Not Available |
Full Name | Kayla Withrow |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 421 Us 31w Byp, Bowling Green, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487434700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 4005662 (Kentucky) | Primary |
Entity Name | Commonwealth Health Corporation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
Mailing Address | Practice Location Address |
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Kayla Withrow, APRN 421 Us 31w Byp, Bowling Green, KY 42101-1775 Ph: () - | Kayla Withrow, APRN 421 Us 31w Byp, Bowling Green, KY 42101-1775 Ph: (270) 782-7768 |
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