| Kml 814 Pllc | |
|
11185 Edinboro Rd Unit D Edinboro PA 16412-1080 | |
| (814) 566-8800 | |
| Not Available |
| Full Name | Kml 814 Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11185 Edinboro Rd Unit D, Edinboro, Pennsylvania |
| Authorized Official Name and Position | William Leone (PRACTICE MANAGER) |
| Authorized Official Contact | 8142825085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kml 814 Pllc 11185 Edinboro Rd Unit D Edinboro PA 16412-1080 Ph: () - | Kml 814 Pllc 11185 Edinboro Rd Unit D Edinboro PA 16412-1080 Ph: (814) 566-8800 |
| NPI Number | 1417720186 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 3779922190 |
|---|---|
| Medicare Enrollment ID | O20240418001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417720186 | NPI | - | NPPES |
| Provider Name | Kaitlyn M Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944050 PECOS PAC ID: 3173804820 Enrollment ID: I20170111002680 |
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