Industrial Wellness Services Of Kentucky, Pllc | |
55 W Cal Hill Spur Pine Knot KY 42635-9194 | |
(606) 376-9355 | |
(606) 376-9356 |
Full Name | Industrial Wellness Services Of Kentucky, Pllc |
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Speciality | Clinic/Center |
Location | 55 W Cal Hill Spur, Pine Knot, Kentucky |
Authorized Official Name and Position | Dustin Hamlin (PRESIDENT) |
Authorized Official Contact | 6063769355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Industrial Wellness Services Of Kentucky, Pllc Po Box 41 Whitley City KY 42653-0041 Ph: (606) 376-9355 | Industrial Wellness Services Of Kentucky, Pllc 55 W Cal Hill Spur Pine Knot KY 42635-9194 Ph: (606) 376-9355 |
NPI Number | 1851618607 |
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Provider Enumeration Date | 05/03/2010 |
Last Update Date | 03/21/2025 |
Certification Date | 03/21/2025 |
Medicare PECOS PAC ID | 3577781582 |
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Medicare Enrollment ID | O20140903001931 |
Identifier | Type | State | Issuer |
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1851618607 | NPI | - | NPPES |
Provider Name | Corena R Gibson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578546495 PECOS PAC ID: 3971524737 Enrollment ID: I20051208000676 |
Provider Name | Cecile Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730236654 PECOS PAC ID: 8123119377 Enrollment ID: I20070802000389 |
Provider Name | Dustin C Hamlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912324609 PECOS PAC ID: 6204054216 Enrollment ID: I20140903001956 |
Provider Name | Stephanie Sumner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013550060 PECOS PAC ID: 6608200522 Enrollment ID: I20200102000331 |
Provider Name | Rhonda Michelle Bryant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659891869 PECOS PAC ID: 2567735350 Enrollment ID: I20200514002374 |
Provider Name | Amber D Ball |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598345738 PECOS PAC ID: 8527477611 Enrollment ID: I20210430000875 |
Provider Name | Theresa S Henderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013583012 PECOS PAC ID: 0446637094 Enrollment ID: I20220519002145 |
Provider Name | Heather Stephens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609586692 PECOS PAC ID: 5193197051 Enrollment ID: I20230202002566 |