| Kelli Schaar-eviston, ARNP | |
|
5522 Taylor Mill Rd, Taylor Mill, KY 41015-4604 | |
| (859) 491-2855 | |
| (859) 655-4395 |
| Full Name | Kelli Schaar-eviston |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5522 Taylor Mill Rd, Taylor Mill, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265499669 | NPI | - | NPPES |
| 78003936 | Medicaid | KY | |
| 2498980 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1092435 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3003042 (Kentucky) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750343216 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Entity Name | Lifestyle Resumption Integrative Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962444653 PECOS PAC ID: 9830159680 Enrollment ID: O20041015000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Schaar-eviston, ARNP 2300 Chamber Center Drive, Suite 200, Fort Mitchell, KY 41017-1673 Ph: (859) 344-5555 | Kelli Schaar-eviston, ARNP 5522 Taylor Mill Rd, Taylor Mill, KY 41015-4604 Ph: (859) 491-2855 |
Cynthia A Planeaux, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 Peace Way, Taylor Mill, KY 41015 Phone: 859-491-2855 Fax: 859-655-4395 |