Krystal Gladson Kennedy, FNP-BC | |
1150 E Arlington Blvd, Greenville, NC 27858-5866 | |
(252) 756-1333 | |
(252) 355-2068 |
Full Name | Krystal Gladson Kennedy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1150 E Arlington Blvd, Greenville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598363681 | NPI | - | NPPES |
1598363681 | Medicaid | NC | |
NNG706B | Other | NC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5013666 (North Carolina) | Primary |
Entity Name | Allergy Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205826559 PECOS PAC ID: 7113822420 Enrollment ID: O20040628000753 |
Entity Name | Greenville Family Doctors, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629129119 PECOS PAC ID: 2365348927 Enrollment ID: O20071026000589 |
Mailing Address | Practice Location Address |
---|---|
Krystal Gladson Kennedy, FNP-BC Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2663 | Krystal Gladson Kennedy, FNP-BC 1150 E Arlington Blvd, Greenville, NC 27858-5866 Ph: (252) 756-1333 |
Staci G. Streeter-moye, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Paladin Dr, Greenville, NC 27834 Phone: 252-752-8880 Fax: 252-752-3084 | |
Walter Roger Nelson, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-752-4848 Fax: 252-752-9607 | |
Ms. Marcy Sue Speight, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 622 S Memorial Dr, Greenville, NC 27858 Phone: 570-371-8303 | |
Ann R Chambers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-6958 | |
Felicia R. Richardson, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-744-9400 Fax: 252-744-9401 | |
Mrs. Elizabeth Hayes Santiago, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2102 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378 | |
Ms. Susan Holliday, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Park, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811 |