| Dr Kimberly Cecil-riddle, DNP, APRN, FNP-BC | |
|
2801 Walter Garrett Lane, Oak Grove, KY 42262 | |
| (270) 640-5821 | |
| (844) 270-5587 |
| Full Name | Dr Kimberly Cecil-riddle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2801 Walter Garrett Lane, Oak Grove, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215171251 | NPI | - | NPPES |
| Q020269 | Medicaid | TN | |
| K202700 | Other | KY | MEDICARE: INDIVIDUAL |
| 474415234 | Other | TRICARE | |
| 7100395690 | Medicaid | KY | |
| K202701 | Other | KY | MEDICARE GROUP (ST. MICHAEL'S) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3004526 (Kentucky) | Primary |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Cecil-riddle, DNP, APRN, FNP-BC 2801 Walter Garrett Lane, Oak Grove, KY 42262 Ph: (270) 640-5821 | Dr Kimberly Cecil-riddle, DNP, APRN, FNP-BC 2801 Walter Garrett Lane, Oak Grove, KY 42262 Ph: (270) 640-5821 |
Ms. Jennifer Jean Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1654 Hugh Hunter Rd #20, Oak Grove, KY 42262 Phone: 601-927-4791 | |
Amy Burse, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 Atlantic Ave, Oak Grove, KY 42262 Phone: 270-348-6288 | |
Mr. Eddie A Manley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Stateline Rd, Oak Grove, KY 42262 Phone: 931-302-9564 Fax: 844-750-0655 | |
Mrs. Sarrah Green, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12088 Palmyra Rd, Oak Grove, KY 42262 Phone: 931-338-8900 | |
Lydia Saina, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 244 Thompsonville Ln, Oak Grove, KY 42262 Phone: 270-632-6743 Fax: 270-632-6744 |