Mrs Kathleen Marie Stevens, ARNP | |
289 Ireland Ave., Building 851, Fort Knox, KY 40121-5111 | |
(502) 624-4031 | |
Not Available |
Full Name | Mrs Kathleen Marie Stevens |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 289 Ireland Ave., Fort Knox, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912991969 | NPI | - | NPPES |
78240306 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2403P (Kentucky) | Primary |
367A00000X | Advanced Practice Midwife | 2403M (Kentucky) | Secondary |
Entity Name | John K Garner Md Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821316290 PECOS PAC ID: 3779772504 Enrollment ID: O20110111000032 |
Entity Name | Commonwealth Pain Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathleen Marie Stevens, ARNP 545 Levi Beams Rd, Magnolia, KY 42757-7960 Ph: (270) 324-3085 | Mrs Kathleen Marie Stevens, ARNP 289 Ireland Ave., Building 851, Fort Knox, KY 40121-5111 Ph: (502) 624-4031 |
Mrs. Dana Ona Jenkinson, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9414 | |
Mrs. Kathleen W Robbins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-0528 Fax: 502-624-0481 | |
Tomasz Boltruczyk, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1160 Brandenburg Station Rd, Fort Knox, KY 40121 Phone: 254-338-7481 | |
Laurel Alexander Darhali, MSN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 270-735-7702 | |
Mary Ames, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 851 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9794 | |
Mrs. Nancy Diane Derosa, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 502-624-9007 | |
Suzanne Elise Laux, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 328 3rd Ave, Fort Knox, KY 40121 Phone: 502-624-1753 |