| Holly Cranston, Md Llc | |
|
1015 S Mount Carmel Pl Pittsburg KS 66762-6604 | |
| (620) 232-5581 | |
| (620) 308-6900 |
| Full Name | Holly Cranston, Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1015 S Mount Carmel Pl, Pittsburg, Kansas |
| Authorized Official Name and Position | Holly A Cranston (MD) |
| Authorized Official Contact | 6202325581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Cranston, Md Llc 1015 S Mount Carmel Pl Pittsburg KS 66762-6604 Ph: (620) 232-5581 | Holly Cranston, Md Llc 1015 S Mount Carmel Pl Pittsburg KS 66762-6604 Ph: (620) 232-5581 |
| NPI Number | 1467769596 |
|---|---|
| Provider Enumeration Date | 09/10/2010 |
| Last Update Date | 02/16/2015 |
| Medicare PECOS PAC ID | 7416149588 |
|---|---|
| Medicare Enrollment ID | O20101007000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467769596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0431773 (Kansas) | Primary |
| Provider Name | Holly A Cranston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720119456 PECOS PAC ID: 7719079458 Enrollment ID: I20070824000790 |
| Provider Name | Stephanie M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689989501 PECOS PAC ID: 4880886969 Enrollment ID: I20101007000630 |
| Provider Name | Anna Beth Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144564543 PECOS PAC ID: 3375861743 Enrollment ID: I20150415000254 |
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