| Kelly Lee Myers, FNP-C | |
|
49 Ridgmont Dr Ste 1, Ridgway, PA 15853-9700 | |
| (814) 245-2119 | |
| (814) 245-2122 |
| Full Name | Kelly Lee Myers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 49 Ridgmont Dr Ste 1, Ridgway, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881357903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP025081 (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN617747 (Pennsylvania) | Secondary |
| Entity Name | Keystone Rural Health Consortia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609968114 PECOS PAC ID: 8022055078 Enrollment ID: O20050412000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lee Myers, FNP-C Po Box 270, Emporium, PA 15834-0270 Ph: (814) 486-1115 | Kelly Lee Myers, FNP-C 49 Ridgmont Dr Ste 1, Ridgway, PA 15853-9700 Ph: (814) 245-2119 |
Katie Elizabeth Kerr, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Metoxet St, Ridgway, PA 15853 Phone: 814-772-8122 Fax: 814-772-7278 | |
Emily Rae Brazinski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Ave, Ridgway, PA 15853 Phone: 814-371-1900 | |
Mr. Nils Paul Magnusson, FNP-C PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Servidea Dr, Ridgway, PA 15853 Phone: 814-776-2145 Fax: 814-776-1470 | |
Kimberly Marie Will, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Gillis Ave Unit 6, Ridgway, PA 15853 Phone: 814-772-5741 |