Keepon Kamau, | |
1001 Bellefontaine Ave, Lima, OH 45804-2899 | |
(419) 228-3335 | |
Not Available |
Full Name | Keepon Kamau |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1001 Bellefontaine Ave, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730807488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | IR.964386 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020612 (Ohio) | Primary |
Entity Name | Anesthesia Associates Of Lima Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487662300 PECOS PAC ID: 4486553013 Enrollment ID: O20040102000630 |
Entity Name | Lima Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
Entity Name | Cable Sleep Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487293866 PECOS PAC ID: 2567892268 Enrollment ID: O20200421000922 |
Mailing Address | Practice Location Address |
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Keepon Kamau, 2842 Northgate Blvd Apt 7, Fort Wayne, IN 46835-2925 Ph: (832) 983-1056 | Keepon Kamau, 1001 Bellefontaine Ave, Lima, OH 45804-2899 Ph: (419) 228-3335 |
Mr. Charles Joseph Bouis Iii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-222-0328 | |
Mr. Storm Wayne Sharp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 Fax: 419-228-3352 | |
Timothy Keener, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2923 Lilly Dr, Lima, OH 45807 Phone: 419-909-1001 | |
Ms. Mary Kay Woolsey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Mr. Adam Reidenbach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Ms. Mary A Schmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 121 W High St # 5, Lima, OH 45801 Phone: 419-998-4573 | |
Rodney David White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 |