Kimberly Dejohn, APRN | |
3175 Beaumont Centre Cir, Lexington, KY 40513-1957 | |
(859) 219-5152 | |
Not Available |
Full Name | Kimberly Dejohn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3175 Beaumont Centre Cir, Lexington, Kentucky |
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 |
---|---|---|---|
1891286225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3012408 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3012408 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Twelvestone Infusion Centers Llc | 6800151424 | 46 |
Entity Name | Kiosk Medicine Kentucky Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127 |
Entity Name | Twelvestone Infusion Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447764857 PECOS PAC ID: 6800151424 Enrollment ID: O20230818001220 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Dejohn, APRN 1428 Copper Glen Dr, Lexington, KY 40514-1297 Ph: (859) 552-8799 | Kimberly Dejohn, APRN 3175 Beaumont Centre Cir, Lexington, KY 40513-1957 Ph: (859) 219-5152 |
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