Kelly Lambeth Crnp Llc | |
55621 Lottie Rd Perdido AL 36562-3025 | |
(251) 583-8408 | |
Not Available |
Full Name | Kelly Lambeth Crnp Llc |
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Speciality | Family Medicine |
Location | 55621 Lottie Rd, Perdido, Alabama |
Authorized Official Name and Position | Kelly C Lambeth (OWNER) |
Authorized Official Contact | 2515838408 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kelly Lambeth Crnp Llc 55621 Lottie Rd Perdido AL 36562-3025 Ph: (251) 583-8408 | Kelly Lambeth Crnp Llc 55621 Lottie Rd Perdido AL 36562-3025 Ph: (251) 583-8408 |
NPI Number | 1164831525 |
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Provider Enumeration Date | 08/10/2014 |
Last Update Date | 08/08/2019 |
Medicare PECOS PAC ID | 6305115981 |
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Medicare Enrollment ID | O20170713001860 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164831525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Edna Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417068792 PECOS PAC ID: 3476523366 Enrollment ID: I20040728000955 |
Provider Name | Joe F Terrell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750354544 PECOS PAC ID: 3779504121 Enrollment ID: I20051213000433 |
Provider Name | Kelly Lambeth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215232343 PECOS PAC ID: 6608023122 Enrollment ID: I20120905000577 |
Provider Name | Mitzi M Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891004834 PECOS PAC ID: 7911219308 Enrollment ID: I20161216000231 |
Provider Name | Kathryn M Mitchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841741402 PECOS PAC ID: 7517249832 Enrollment ID: I20170123000934 |
Provider Name | Jennifer Kathleen Griffin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609002500 PECOS PAC ID: 4385808476 Enrollment ID: I20170724003941 |
Provider Name | Ashleigh L Boyington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851931521 PECOS PAC ID: 3173958857 Enrollment ID: I20200306002256 |
Provider Name | Lauren Clifton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326664541 PECOS PAC ID: 1658771530 Enrollment ID: I20210615000493 |
Provider Name | Danielle Hughes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558946293 PECOS PAC ID: 8426447574 Enrollment ID: I20231121003032 |