Kelly Williams, | |
1000 Van Nuys Rd, New Castle, IN 47362-9060 | |
(765) 593-0111 | |
Not Available |
Full Name | Kelly Williams |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1000 Van Nuys Rd, New Castle, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417609231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F11210294 (Indiana) | Primary |
Entity Name | Cleanslate Medical Group Of Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
Mailing Address | Practice Location Address |
---|---|
Kelly Williams, 702 Nursery Rd, Anderson, IN 46012-3513 Ph: (317) 650-4696 | Kelly Williams, 1000 Van Nuys Rd, New Castle, IN 47362-9060 Ph: (765) 593-0111 |
Hannah Marie King, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 S Memorial Dr, New Castle, IN 47362 Phone: 765-518-8100 | |
Taylor Fruth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 798 N 16th St, New Castle, IN 47362 Phone: 765-521-1500 | |
Kaitlin Walden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 152 Wittenbraker Ave, New Castle, IN 47362 Phone: 765-599-3100 Fax: 765-518-5365 | |
Anne C Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Forest Ridge Pkwy Ste 310, New Castle, IN 47362 Phone: 765-599-3400 Fax: 765-599-3426 | |
Lauren Karbowski, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 S Memorial Dr, New Castle, IN 47362 Phone: 765-518-8100 | |
Ms. Deborah Lynn Perkins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N 16th St, New Castle, IN 47362 Phone: 765-599-3177 Fax: 765-599-3176 | |
Tobey Lyn Gilmore, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 S Memorial Dr, New Castle, IN 47362 Phone: 765-518-8100 Fax: 765-518-8102 |