| Kevin Malicky, CRNP F-NP | |
|
1225 Warm Springs Ave, Huntingdon, PA 16652-2350 | |
| (818) 643-8485 | |
| (814) 643-8755 |
| Full Name | Kevin Malicky |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 1225 Warm Springs Ave, Huntingdon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447674114 | NPI | - | NPPES |
| 102948711 | Medicaid | PA | |
| 349540G0F | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F0214324 (Pennsylvania) | Primary |
| Entity Name | Numedx |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790360303 PECOS PAC ID: 1355747395 Enrollment ID: O20211101003120 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Malicky, CRNP F-NP 153 Frederick Rd, Altoona, PA 16602-7475 Ph: (814) 937-4147 | Kevin Malicky, CRNP F-NP 1225 Warm Springs Ave, Huntingdon, PA 16652-2350 Ph: (818) 643-8485 |
Mrs. Hope Saylor, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6311 Margy Dr, Huntingdon, PA 16652 Phone: 814-506-8490 | |
Wendy L Brown, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652 Phone: 814-643-8750 Fax: 814-643-8360 | |
Ms. Bethany Ann Stough, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652 Phone: 814-643-8750 Fax: 814-643-8360 | |
Mr. George Walter Weaver, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Bryan St Ste 5, Huntingdon, PA 16652 Phone: 814-643-6300 Fax: 814-643-8776 | |
Roxanne Swistock, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1225 Warm Springs Ave, Huntingdon, PA 16652 Phone: 814-643-8556 | |
Brooke Alleman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7651 Lake Raystown Shopping Ctr, Huntingdon, PA 16652 Phone: 814-643-8750 | |
Christina Marie Brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Pike St, Huntingdon, PA 16654 Phone: 814-643-2400 |