| Mrs Kaylin Renae Coffman, APRN | |
| 
					105 Prather Path Ste 2100, Georgetown, KY 40324-9206  | |
| (859) 340-1377 | |
| (859) 987-1107 | 
| Full Name | Mrs Kaylin Renae Coffman | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 105 Prather Path Ste 2100, Georgetown, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215651815 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3018408 (Kentucky) | Primary | 
| Entity Name | Kiosk Medicine Kentucky Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127  | 
| Entity Name | Kentucky Mso Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164867883 PECOS PAC ID: 0749450633 Enrollment ID: O20110901000380  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kaylin Renae Coffman, APRN 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: (615) 425-4200  | Mrs Kaylin Renae Coffman, APRN 105 Prather Path Ste 2100, Georgetown, KY 40324-9206 Ph: (859) 340-1377  | 
Joann Carroll, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1154a Lexington Rd, Georgetown, KY 40324 Phone: 833-510-4357  | |
Jenna Bivins Green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Showalter Dr, Georgetown, KY 40324 Phone: 502-868-6101  | |
Jill Ellen Crawford, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Bevins Ln, Georgetown, KY 40324 Phone: 859-323-9333 Fax: 502-570-5322  | |
Adam Dwight Culbertson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154a Lexington Rd, Georgetown, KY 40324 Phone: 513-834-7063  | |
Greta Coleman Barker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1215  | |
Peyton Madison Blanton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 Bevins Ln, Georgetown, KY 40324 Phone: 859-323-9333 Fax: 502-570-5063  | |
Mrs. Carrie L Clifford-bennett, APRN, NP-C, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Apple Creek Ln, Georgetown, KY 40324 Phone: 502-542-0214  |