| Kenneth E Mccolley, PA-C | |
|
100 Spradlin Farm Dr, Christiansburg, VA 24073-1161 | |
| (540) 381-2745 | |
| Not Available |
| Full Name | Kenneth E Mccolley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 100 Spradlin Farm Dr, Christiansburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003817966 | NPI | - | NPPES |
| 0110840685 | Other | VA | BOARD OF MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110-840685 (Virginia) | Primary |
| Entity Name | Medexpress Urgent Care, PC - Virginia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215219878 PECOS PAC ID: 3173797586 Enrollment ID: O20111123000505 |
| Entity Name | Little River Medical, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225796196 PECOS PAC ID: 2769877141 Enrollment ID: O20220322000873 |
| Entity Name | Bon Secours Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265160501 PECOS PAC ID: 6709256142 Enrollment ID: O20221230000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Mccolley, PA-C 105 Sherwood Dr, Colonial Heights, VA 23834-1226 Ph: Not Available | Kenneth E Mccolley, PA-C 100 Spradlin Farm Dr, Christiansburg, VA 24073-1161 Ph: (540) 381-2745 |
Carly Michele Porter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 302, Christiansburg, VA 24073 Phone: 540-731-2000 |
Misty Justus, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Spradlin Farm Dr, Christiansburg, VA 24073 Phone: 540-381-2745 |
Jacob Dillon Gooden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 302, Christiansburg, VA 24073 Phone: 540-731-2000 |
Ms. Olivia Ross Ferguson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir Ste L-760, Christiansburg, VA 24073 Phone: 540-510-6200 Fax: 540-857-5306 |
Ms. Tracy Kletzing, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir Ste 250, Christiansburg, VA 24073 Phone: 540-772-1514 |
Mr. Jeffrey Glen Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir, Suite 302, Christiansburg, VA 24073 Phone: 540-731-7600 Fax: 540-639-5400 |
Mrs. Crystal Lynn Chrisley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir, Christiansburg, VA 24073 Phone: 540-731-2866 Fax: 540-731-2867 |