Kathalene Antoinette Nottingham, | |
987 Elliot St, Saint Albans, WV 25177-3980 | |
(304) 982-2104 | |
Not Available |
Full Name | Kathalene Antoinette Nottingham |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 987 Elliot St, Saint Albans, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447924469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 08781 (West Virginia) | Primary |
Entity Name | South Charleston Cardiology Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770706772 PECOS PAC ID: 1759376916 Enrollment ID: O20040416001238 |
Mailing Address | Practice Location Address |
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Kathalene Antoinette Nottingham, 987 Elliot St, Saint Albans, WV 25177-3980 Ph: () - | Kathalene Antoinette Nottingham, 987 Elliot St, Saint Albans, WV 25177-3980 Ph: (304) 982-2104 |
Zachary Holbert, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Vine St, Saint Albans, WV 25177 Phone: 304-400-7241 | |
Jennifer Lynn Ranson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 | |
Lisa A. Kelly, APRN,NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 |