K2s2 Management, Llc | |
3800 Ridgeway Dr Homewood AL 35209-5506 | |
(205) 868-2000 | |
Not Available |
Full Name | K2s2 Management, Llc |
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Speciality | Internal Medicine |
Location | 3800 Ridgeway Dr, Homewood, Alabama |
Authorized Official Name and Position | Kyle Rudemiller (OWNER) |
Authorized Official Contact | 2056552088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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K2s2 Management, Llc Po Box 296 Shannon AL 35142-0296 Ph: () - | K2s2 Management, Llc 3800 Ridgeway Dr Homewood AL 35209-5506 Ph: (205) 868-2000 |
NPI Number | 1881102135 |
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Provider Enumeration Date | 01/19/2018 |
Last Update Date | 01/19/2018 |
Medicare PECOS PAC ID | 6305193822 |
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Medicare Enrollment ID | O20180716000853 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881102135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Connie M Swillie |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003927831 PECOS PAC ID: 7315939162 Enrollment ID: I20040401000078 |
Provider Name | Sara B Taylor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336352533 PECOS PAC ID: 8820144512 Enrollment ID: I20090922000370 |
Provider Name | Kimberley G Edge |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376723908 PECOS PAC ID: 0345383964 Enrollment ID: I20100204000681 |
Provider Name | Kyle J Rudemiller |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306136692 PECOS PAC ID: 7517118102 Enrollment ID: I20121107000480 |
Provider Name | Alex Iannone |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1033425764 PECOS PAC ID: 2860628989 Enrollment ID: I20131120000946 |
Provider Name | Jeremy M Hatchett |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568752996 PECOS PAC ID: 5496992232 Enrollment ID: I20140922002070 |
Provider Name | Kevin Allen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740547876 PECOS PAC ID: 6507016326 Enrollment ID: I20150630000126 |
Provider Name | Joshua Burkhart |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801153937 PECOS PAC ID: 6204086069 Enrollment ID: I20150702000613 |
Provider Name | James Oliver |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891138624 PECOS PAC ID: 6204076086 Enrollment ID: I20160624000843 |
Provider Name | Raymond Chad Wade |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1073990297 PECOS PAC ID: 6305167115 Enrollment ID: I20180710001546 |
Provider Name | Chad Michael Colon |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1205299468 PECOS PAC ID: 4183911472 Enrollment ID: I20181001000695 |
Provider Name | Brandon Michael Bringuel |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1063866770 PECOS PAC ID: 2365721446 Enrollment ID: I20181115000683 |
Provider Name | Griffin Andrew Guice |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891085270 PECOS PAC ID: 7517103153 Enrollment ID: I20190322002248 |
Provider Name | Jacob Elrod |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1942733977 PECOS PAC ID: 4981981099 Enrollment ID: I20190914000052 |
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