| Dr Kendall Alexander Talley, DO | |
|
2001 Kingsley Ave, Orange Park, FL 32073-5148 | |
| (904) 639-2000 | |
| (904) 639-2015 |
| Full Name | Dr Kendall Alexander Talley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2001 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215565551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 95610 (Georgia) | Primary |
| Entity Name | Inphynet Primary Care Physicians Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600 |
| Entity Name | Emergency Group Of Columbus Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191 |
| Entity Name | Heritage Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003321969 PECOS PAC ID: 6305100850 Enrollment ID: O20180509000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kendall Alexander Talley, DO 2211 Hunter Ct, Columbus, GA 31907-3782 Ph: (404) 374-7332 | Dr Kendall Alexander Talley, DO 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-2000 |
Dr. Forrest King, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Taryn Elizabeth Hoffman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-8500 | |
Janae Fry, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 | |
Matthew Kwan Ho Mui, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave Dept Of, Orange Park, FL 32073 Phone: 916-606-8070 | |
Dr. William Angelo Kantrales, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 | |
Madalyn Marie Nygren, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 904-639-2015 |