Kellie Ann Kilrain, PNP | |
3118 S Lafountain St, Kokomo, IN 46902-3710 | |
(765) 864-4160 | |
(844) 397-1312 |
Full Name | Kellie Ann Kilrain |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 3118 S Lafountain St, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255682894 | NPI | - | NPPES |
201166040 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 71004200A (Indiana) | Primary |
Entity Name | Indiana Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
Mailing Address | Practice Location Address |
---|---|
Kellie Ann Kilrain, PNP 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335 | Kellie Ann Kilrain, PNP 3118 S Lafountain St, Kokomo, IN 46902-3710 Ph: (765) 864-4160 |
Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637 | |
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487 | |
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700 | |
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900 | |
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732 | |
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160 |