| Kayla L Broadway, APRN | |
|
1309 W Main St, Walnut Ridge, AR 72476-1430 | |
| (870) 886-3211 | |
| (870) 886-3616 |
| Full Name | Kayla L Broadway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1309 W Main St, Walnut Ridge, Arkansas |
| 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 |
|---|---|---|---|
| 1467020529 | NPI | - | NPPES |
| 216315 | Other | AR | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 216315 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence Memorial Hospital | Walnut ridge, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawrence Memorial Hospital | 9436052917 | 9 |
| Lawrence Memorial Health Foundation Inc | 9436305836 | 10 |
| Entity Name | Pocahontas Medical Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508855305 PECOS PAC ID: 4688651029 Enrollment ID: O20040702000397 |
| Entity Name | Lawrence Memorial Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528052107 PECOS PAC ID: 9436305836 Enrollment ID: O20191029002135 |
| Entity Name | Lawrence Memorial Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962626770 PECOS PAC ID: 9436305836 Enrollment ID: O20191030002298 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla L Broadway, APRN Po Box 839, Walnut Ridge, AR 72476-0839 Ph: (870) 886-3211 | Kayla L Broadway, APRN 1309 W Main St, Walnut Ridge, AR 72476-1430 Ph: (870) 886-3211 |
Meaghan Danielle Kingston, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 W Main St Ste C, Walnut Ridge, AR 72476 Phone: 870-930-9990 Fax: 870-930-9992 | |
William Alexander Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Colonial Dr, Walnut Ridge, AR 72476 Phone: 870-886-5507 Fax: 870-886-5632 | |
Lauren Elizabeth Crews, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Colonial Dr, Walnut Ridge, AR 72476 Phone: 870-886-5507 Fax: 870-886-5632 | |
Patty Bilbrey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Colonial Dr, Walnut Ridge, AR 72476 Phone: 870-886-5507 Fax: 870-886-5632 | |
Lucas J Hoggard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 W Main St Ste C, Walnut Ridge, AR 72476 Phone: 870-930-9990 Fax: 870-930-9992 | |
Robert Doyle Turner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Colonial Dr, Walnut Ridge, AR 72476 Phone: 870-886-5507 Fax: 870-886-5632 |