| Kendall Lauren Key, PA-C | |
|
1695 E. Rainforest Rd., Suite 2, Fayetteville, AR 72703 | |
| (479) 445-6460 | |
| (479) 254-9652 |
| Full Name | Kendall Lauren Key |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1695 E. Rainforest Rd., Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578835534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-462 (Arkansas) | Primary |
| Entity Name | Hull Dermatology P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407082464 PECOS PAC ID: 1759433881 Enrollment ID: O20090721000039 |
| Entity Name | Roller Weight Loss Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073743399 PECOS PAC ID: 0446398770 Enrollment ID: O20091106000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Lauren Key, PA-C 1695 E. Rainforest Rd., Suite 2, Fayetteville, AR 72703 Ph: (479) 445-6460 | Kendall Lauren Key, PA-C 1695 E. Rainforest Rd., Suite 2, Fayetteville, AR 72703 Ph: (479) 445-6460 |
Kristin Salmon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Savannah Hill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Charles Earl Wall Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Moorea Leigh Massa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 |
Alexis Mikayla Clark, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1438 E Augustine Ln Ste 2, Fayetteville, AR 72703 Phone: 479-335-5777 |
Madalynn Potter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 |
Wesley Mcgehee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3352 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-2752 Fax: 479-443-7862 |