Kellie King, APRN | |
7575 Northcliff Ave, Brooklyn, OH 44144-3267 | |
(440) 785-4769 | |
Not Available |
Full Name | Kellie King |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 7575 Northcliff Ave, Brooklyn, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740890201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2019081900 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest General Health Center | Middleburg heights, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest General Health Center | 7012909245 | 26 |
Entity Name | Southwest General Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740608306 PECOS PAC ID: 7012909245 Enrollment ID: O20040330001464 |
Mailing Address | Practice Location Address |
---|---|
Kellie King, APRN 2532 Hampton Rd, Rocky River, OH 44116-2545 Ph: (440) 785-4769 | Kellie King, APRN 7575 Northcliff Ave, Brooklyn, OH 44144-3267 Ph: (440) 785-4769 |
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