Wendy Jo Kelton, APN | |
1113 Chestnut St, Lewisville, AR 71845-0367 | |
(870) 921-5744 | |
(870) 921-5733 |
Full Name | Wendy Jo Kelton |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1113 Chestnut St, Lewisville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942591896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | A03509 (Arkansas) | Primary |
Entity Name | Arkansas Department Of Health Payroll Office |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1619195906 PECOS PAC ID: 5799696779 Enrollment ID: O20090801000049 |
Mailing Address | Practice Location Address |
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Wendy Jo Kelton, APN Po Box 367, 1113 Chestnut Street, Lewisville, AR 71845-0367 Ph: (870) 921-5744 | Wendy Jo Kelton, APN 1113 Chestnut St, Lewisville, AR 71845-0367 Ph: (870) 921-5744 |
Kristin Price, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1117 Chestnut Street, Lewisville, AR 71845 Phone: 870-921-5781 Fax: 870-798-4100 | |
Ms. Lisa Lanette Jackson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Chestnut St, Lewisville, AR 71845 Phone: 870-921-5781 Fax: 870-798-4100 |