| Revelstone Family Practice | |
|
232 Concord Rd Albemarle NC 28001-4612 | |
| (704) 986-3900 | |
| (704) 986-3913 |
| Full Name | Revelstone Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 232 Concord Rd, Albemarle, North Carolina |
| Authorized Official Name and Position | Edward Allen Kepp (OWNER) |
| Authorized Official Contact | 7049863900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revelstone Family Practice 232 Concord Rd Albemarle NC 28001-4612 Ph: (704) 986-3900 | Revelstone Family Practice 232 Concord Rd Albemarle NC 28001-4612 Ph: (704) 986-3900 |
| NPI Number | 1790143436 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 0244287431 |
|---|---|
| Medicare Enrollment ID | O20210323000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790143436 | NPI | - | NPPES |
| 8947986 | Medicaid | NC |
| Provider Name | Edward Allen Kepp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194785899 PECOS PAC ID: 4789631979 Enrollment ID: I20051118000445 |
| Provider Name | Brenda H Harkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316967086 PECOS PAC ID: 4183630411 Enrollment ID: I20060223000770 |
| Provider Name | Emily Rose Greenlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639575376 PECOS PAC ID: 4688983935 Enrollment ID: I20201022001198 |
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Stanly Co Hlth Dept - Healthcheck-epsdt- Fp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 N 1st St, Suite 3, Albemarle, NC 28001 Phone: 704-982-9171 Fax: 704-982-8354 | |
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