Mamie Kennedy, CRNP | |
1121 Belleville Ave, Brewton, AL 36426-1500 | |
(251) 809-3208 | |
(251) 867-5999 |
Full Name | Mamie Kennedy |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1121 Belleville Ave, Brewton, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003299074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-116711 (Alabama) | Primary |
Entity Name | Brewton Medical Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336196856 PECOS PAC ID: 1759359748 Enrollment ID: O20040917000687 |
Entity Name | Rural Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20150910001722 |
Mailing Address | Practice Location Address |
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Mamie Kennedy, CRNP 1121 Belleville Ave, Brewton, AL 36426-1500 Ph: (251) 809-3208 | Mamie Kennedy, CRNP 1121 Belleville Ave, Brewton, AL 36426-1500 Ph: (251) 809-3208 |
Heather Dawn Brock, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Evergreen Ave, Brewton, AL 36426 Phone: 251-286-8234 Fax: 251-286-8233 | |
Martha Dawn Singleton, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 Belleville Ave, Brewton, AL 36426 Phone: 251-809-8388 Fax: 251-809-8459 | |
Amy White, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 Douglas Ave, Brewton, AL 36426 Phone: 251-868-2090 Fax: 251-868-2091 | |
Brittni Lynn Klugh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2134 Douglas Ave, Brewton, AL 36426 Phone: 251-236-4026 | |
Aleigh Taylor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1121 Belleville Ave, Brewton, AL 36426 Phone: 251-809-3160 Fax: 251-809-3165 | |
Donna Conway, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2134 Douglas Ave, Brewton, AL 36426 Phone: 251-236-4026 |