| Haden Kirk, | |
|
755 Cowan Dr, Lebanon, MO 65536-4629 | |
| (417) 532-2805 | |
| Not Available |
| Full Name | Haden Kirk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 755 Cowan Dr, Lebanon, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093666422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2026005067 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Regional Health System | 9133026776 | 132 |
| Entity Name | Lake Regional Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Haden Kirk, 755 Cowan Dr, Lebanon, MO 65536-4629 Ph: (417) 532-2805 | Haden Kirk, 755 Cowan Dr, Lebanon, MO 65536-4629 Ph: (417) 532-2805 |
Misty Dawn Stopper, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Stella St, Lebanon, MO 65536 Phone: 417-733-7324 |
Daniel L. Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 441 W Elm St Ste A, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2848 |
Lisa M. Boggs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 300, Lebanon, MO 65536 Phone: 417-533-6746 Fax: 417-533-6722 |
Starlynn M Stinson, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 331 Hospital Dr, Lebanon, MO 65536 Phone: 417-532-3495 Fax: 417-532-3598 |
Donna C. Wilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 |
Shelly Kahler, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 417-831-0150 |
Kendra Mcmillion, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Highway 32, Lebanon, MO 65536 Phone: 417-269-2278 Fax: 417-269-2274 |