| Kfoury Medical Specialists Pllc | |
|
1 Trillium Way Corbin KY 40701-8727 | |
| (606) 309-1806 | |
| (606) 657-5734 |
| Full Name | Kfoury Medical Specialists Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Trillium Way, Corbin, Kentucky |
| Authorized Official Name and Position | Wajdi S Kfoury (OWNER AND MEMBER) |
| Authorized Official Contact | 6063091806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kfoury Medical Specialists Pllc Po Box 2828 London KY 40743-2828 Ph: (606) 309-1806 | Kfoury Medical Specialists Pllc 1 Trillium Way Corbin KY 40701-8727 Ph: (606) 309-1806 |
| NPI Number | 1093833998 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 10/12/2015 |
| Medicare PECOS PAC ID | 1759482250 |
|---|---|
| Medicare Enrollment ID | O20070727000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093833998 | NPI | - | NPPES |
| 7100010200 | Medicaid | KY | |
| 000000521523 | Other | KY | BCBS OF KY |
| Provider Name | Wajdi S Kfoury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124010814 PECOS PAC ID: 1254393374 Enrollment ID: I20041101000973 |
| Provider Name | Trisha Ann Spray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447773320 PECOS PAC ID: 5597037283 Enrollment ID: I20170815003132 |
| Provider Name | Tiffany L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427556125 PECOS PAC ID: 1052671971 Enrollment ID: I20180213003174 |
| Provider Name | Megan M Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669944880 PECOS PAC ID: 8628316973 Enrollment ID: I20190211002985 |
| Provider Name | Megan M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316410152 PECOS PAC ID: 2961742655 Enrollment ID: I20190315000776 |
| Provider Name | Whitney Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366028698 PECOS PAC ID: 3173932159 Enrollment ID: I20210503002426 |
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