Kelley Tew Kindelspire, APRN | |
5336 10th St, Malone, FL 32445-3429 | |
(850) 569-2053 | |
(850) 569-2062 |
Full Name | Kelley Tew Kindelspire |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5336 10th St, Malone, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497190508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN9292260 (Florida) | Primary |
Entity Name | Pancare Of Florida, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366456287 PECOS PAC ID: 3476574229 Enrollment ID: O20150116000294 |
Mailing Address | Practice Location Address |
---|---|
Kelley Tew Kindelspire, APRN 403 E 11th St, Panama City, FL 32401-3409 Ph: (850) 747-5599 | Kelley Tew Kindelspire, APRN 5336 10th St, Malone, FL 32445-3429 Ph: (850) 569-2053 |
Mr. John Bertram Garrett Iv, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5079 Garrett Rd, Malone, FL 32445 Phone: 505-557-3761 | |
Shandrell Shamone Mount, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5823 Sunlight Rd, Malone, FL 32445 Phone: 850-317-6632 | |
Mrs. Ashley Leanne Garrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5336 10th St, Malone, FL 32445 Phone: 850-569-2053 |