Kenneth R Kichura, PT | |
374 Kroger Way, Versailles, KY 40383-1915 | |
(859) 286-6848 | |
Not Available |
Full Name | Kenneth R Kichura |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 374 Kroger Way, Versailles, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487953923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1184532 (Texas) | Secondary |
225100000X | Physical Therapist | 008078 (Kentucky) | Primary |
Provider Name | Sn Kentuckiana Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609349018 PECOS PAC ID: 1254671464 Enrollment ID: O20190326002841 |
Mailing Address | Practice Location Address |
---|---|
Kenneth R Kichura, PT 374 Kroger Way, Versailles, KY 40383-1915 Ph: (859) 286-6848 | Kenneth R Kichura, PT 374 Kroger Way, Versailles, KY 40383-1915 Ph: (859) 286-6848 |
Miss Katherine Lynne Stevenson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 374 Kroger Way, Versailles, KY 40383 Phone: 859-286-6848 | |
Versailles Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 535 Marsailles Dr, Versailles, KY 40383 Phone: 859-879-3560 | |
Gabrielle Kendra Van Scoy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 374 Kroger Way, Versailles, KY 40383 Phone: 859-286-6848 | |
Beth Underwood Coon, PT, DPT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 535 Marsailles Rd, Versailles, KY 40383 Phone: 859-879-3560 Fax: 859-879-3564 | |
Mickayla D Lambach, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 374 Kroger Way, Versailles, KY 40383 Phone: 859-286-6848 | |
Walter Luttrell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 374 Kroger Way, Versailles, KY 40383 Phone: 859-286-6848 | |
Michael S Spalding, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Crossfield Dr, Versailles, KY 40383 Phone: 502-223-7403 Fax: 502-223-5016 |