Kelly Annette Cudd, FNP | |
136 Bradbury Rd, Ellenboro, NC 28040-9338 | |
(828) 429-1195 | |
Not Available |
Full Name | Kelly Annette Cudd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 136 Bradbury Rd, Ellenboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396454724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26794 (South Carolina) | Primary |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 |
Entity Name | Cherokee Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041 |
Mailing Address | Practice Location Address |
---|---|
Kelly Annette Cudd, FNP Po Box 743070, Atlanta, GA 30374-3070 Ph: (645) 604-3048 | Kelly Annette Cudd, FNP 136 Bradbury Rd, Ellenboro, NC 28040-9338 Ph: (828) 429-1195 |