| Kathalene Antoinette Nottingham, | |
|
987 Elliot St, Saint Albans, WV 25177-3980 | |
| (304) 982-2104 | |
| Not Available |
| Full Name | Kathalene Antoinette Nottingham |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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: 2308 Curtis Ave, Saint Albans, WV 25177 Phone: 304-400-7241 Fax: 304-364-0011 | |
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 |