Khyra Conerly, is a
Community Health Worker based in Stockton, California. Khyra Conerly is licensed to practice in * (Not Available) (license number ) and her current practice location is
2495 W March Ln Ste 125, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 465-1080.
NPI number for Khyra Conerly is 1902525751 and her current mailing address is 2495 W March Ln Ste 125, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902525751.
Healthcare Provider's Profile
| Full Name | Khyra Conerly |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2495 W March Ln Ste 125, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902525751
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 01/25/2024
Medical Identifiers
Medical identifiers for Khyra Conerly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902525751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khyra Conerly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Khyra Conerly, 2495 W March Ln Ste 125, Stockton, CA 95207-8224 Ph: () - | Khyra Conerly, 2495 W March Ln Ste 125, Stockton, CA 95207-8224 Ph: (209) 465-1080 |
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