| Kaitlyn T Hale, | |
|
5549 Highway K, Brighton, MO 65617-7256 | |
| (417) 376-2238 | |
| Not Available |
| Full Name | Kaitlyn T Hale |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5549 Highway K, Brighton, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689385858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2022043518 (Missouri) | Primary |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073905915 PECOS PAC ID: 5799787784 Enrollment ID: O20150608002749 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn T Hale, Po Box 617, Brighton, MO 65617-0617 Ph: () - | Kaitlyn T Hale, 5549 Highway K, Brighton, MO 65617-7256 Ph: (417) 376-2238 |
Tabitha Lee Klessens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5549 N Highway 13, Brighton, MO 65617 Phone: 417-376-2238 | |
Susan R Dorr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5549 N Highway 13, Brighton, MO 65617 Phone: 417-376-2238 | |
Ms. Angela Siceluff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5549 N Highway 13, Brighton, MO 65617 Phone: 417-376-2238 Fax: 417-376-2014 | |
Geraldine V Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5549 N Highway 13, Brighton, MO 65617 Phone: 417-376-2238 | |
Ronald Delos Bauder Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5549 Highway K Old Highway 13, Good Samaritan Boys Ranch, Brighton, MO 65617 Phone: 417-376-2238 Fax: 417-376-2014 | |
Jonathan Michael Chang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5549 Highway K, Brighton, MO 65617 Phone: 417-376-2238 | |
Mrs. Lindsay M Wray, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5549 N Highway 13, Brighton, MO 65617 Phone: 417-376-2238 Fax: 417-376-2014 |