Ms Kitty Kervin, | |
109 Regency Pl, West Monroe, LA 71291-4453 | |
(318) 812-9999 | |
(318) 323-9339 |
Full Name | Ms Kitty Kervin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 109 Regency Pl, West Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013328533 | NPI | - | NPPES |
2385658 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | TAP003243 (Louisiana) | Primary |
Entity Name | Affinity Health Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
Mailing Address | Practice Location Address |
---|---|
Ms Kitty Kervin, 130 Desiard St, Suite 355, Monroe, LA 71201-7319 Ph: (318) 807-7875 | Ms Kitty Kervin, 109 Regency Pl, West Monroe, LA 71291-4453 Ph: (318) 812-9999 |
Khyra Albright, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Briarcliff Dr, West Monroe, LA 71291 Phone: 318-547-0914 | |
Natalie Demoss, APRN-CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4624 Cypress St Ste 7, West Monroe, LA 71291 Phone: 318-512-4112 Fax: 318-570-5903 | |
Mary Katherine Cantrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Thomas Rd Ste 203, West Monroe, LA 71291 Phone: 318-255-3690 | |
Mrs. Jennifer Elliott Creel, ACNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Thomas Rd, Suite 104, West Monroe, LA 71291 Phone: 318-329-8485 | |
Ms. Cherry M. Patton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2601 North 7th, Suite 100, West Monroe, LA 71291 Phone: 318-582-5208 Fax: 318-582-5216 | |
Mrs. Monica Denise Coplin, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3101 Cypress St, Suite 9, West Monroe, LA 71291 Phone: 318-322-9252 Fax: 318-322-2885 |