| Kimberly Dawn Dulaney, APRN | |
| 
					1488 S Riverside Dr Nw, Mcconnelsville, OH 43756-9635  | |
| (740) 651-8856 | |
| Not Available | 
| Full Name | Kimberly Dawn Dulaney | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1488 S Riverside Dr Nw, Mcconnelsville, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336611508 | NPI | - | NPPES | 
| APRN.CNP.0038108 | Other | OH | APRN CNP | 
| RN29188 | Other | OH | OHIO RN LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN291883 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0038108 (Ohio) | Primary | 
| Entity Name | Palliative Care Support Solutions, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154941417 PECOS PAC ID: 2769807122 Enrollment ID: O20200731001558  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly Dawn Dulaney, APRN 1488 S Riverside Dr Nw, Mcconnelsville, OH 43756-9635 Ph: (740) 651-8856  | Kimberly Dawn Dulaney, APRN 1488 S Riverside Dr Nw, Mcconnelsville, OH 43756-9635 Ph: (740) 651-8856  | 
Janelle Mcconnell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4279 N State Route 376 Nw, Mcconnelsville, OH 43756 Phone: 740-651-5188 Fax: 740-651-5258  | |
Mr. Justin A Kerr, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 915 S Riverside Dr Ne, Mcconnelsville, OH 43756 Phone: 740-454-9466  | |
Amber L. Kelley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 856 S Riverside Dr Ne Ste 101, Mcconnelsville, OH 43756 Phone: 740-281-2243  |