Kyle P Pelc, | |
44 Radio City Blvd, Columbus, OH 43235-8936 | |
(740) 501-6437 | |
Not Available |
Full Name | Kyle P Pelc |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 44 Radio City Blvd, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285115899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 363744 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 019734 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Knox Community Hospital | Mount vernon, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Knox Community Hospital | 1153301833 | 104 |
Entity Name | New Albany Orthopedic Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762635 PECOS PAC ID: 7618872789 Enrollment ID: O20031203000000 |
Entity Name | Knox Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154483022 PECOS PAC ID: 1153301833 Enrollment ID: O20040722001173 |
Mailing Address | Practice Location Address |
---|---|
Kyle P Pelc, 44 Radio City Blvd, Columbus, OH 43235-8936 Ph: (740) 501-6437 | Kyle P Pelc, 44 Radio City Blvd, Columbus, OH 43235-8936 Ph: (740) 501-6437 |
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