Mr Kenneth Michael Plumley, PAC is a
Physician Assistant based in Callaway, Florida. Mr Kenneth Michael Plumley is licensed to practice in Florida (license number PA0001942) and his current practice location is
5620 Cherry St, Callaway, Florida. He can be reached at his office (for appointments etc.) via phone at
(800) 215-7210.
NPI number for Mr Kenneth Michael Plumley is 1629151931 and his current mailing address is Po Box 1568, Lynn Haven, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629151931.
Provider's Profile
| Full Name | Mr Kenneth Michael Plumley |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 5620 Cherry St, Callaway, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629151931
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Kenneth Michael Plumley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629151931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA0001942 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Michael Plumley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kenneth Michael Plumley, PAC
Po Box 1568,
Lynn Haven, FL 32444-1568
Ph: (850) 769-6612 | Mr Kenneth Michael Plumley, PAC
5620 Cherry St,
Callaway, FL 32404
Ph: (800) 215-7210 |
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