| Kenneth Elisha Conn, CRNP | |
|
400 E 10th St, Anniston, AL 36207-4716 | |
| (256) 235-5211 | |
| Not Available |
| Full Name | Kenneth Elisha Conn |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 400 E 10th St, Anniston, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336459437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-105093 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee County Physicians Llc | 3173860087 | 13 |
| Entity Name | App Of Alabama Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
| Entity Name | Cherokee County Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760958680 PECOS PAC ID: 3173860087 Enrollment ID: O20190131001218 |
| Entity Name | Weiss Lake Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205397643 PECOS PAC ID: 5799011219 Enrollment ID: O20190722002439 |
| Entity Name | Gadsden Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750061610 PECOS PAC ID: 4183078561 Enrollment ID: O20231004001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Elisha Conn, CRNP 13365 Al Highway 9, Piedmont, AL 36272-7723 Ph: (256) 435-5394 | Kenneth Elisha Conn, CRNP 400 E 10th St, Anniston, AL 36207-4716 Ph: (256) 235-5211 |
Amanda Marie Pearson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
Mary Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
Cori Clark Broadhead, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Quintard Ave, Anniston, AL 36201 Phone: 256-741-9799 Fax: 256-741-9795 | |
Holly Flanagan Mays, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3312 Henry Rd, Anniston, AL 36207 Phone: 256-241-2671 Fax: 256-241-2676 | |
Jessica Benedicta Coby, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E 10th St, Anniston, AL 36207 Phone: 256-235-5896 | |
Dr. Dhara Sandip Patel, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Anniston, AL 36207 Phone: 256-741-6464 | |
Jessica Marie Semyonova, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Christine Ave, Anniston, AL 36207 Phone: 256-236-5631 Fax: 256-241-2241 |