| Kimberly J Prough, PAC | |
|
2254 Highway A1a, Indian Harbour Beach, FL 32937-4922 | |
| (321) 777-2273 | |
| (321) 779-7425 |
| Full Name | Kimberly J Prough |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2254 Highway A1a, Indian Harbour Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902811698 | NPI | - | NPPES |
| 8N8636 | Other | TX | BLUECROSS BLUESHIELD |
| 8Y0826 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9104973 (Florida) | Primary |
| 363A00000X | Physician Assistant | PA02977 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly J Prough, PAC 2254 Highway A1a, Indian Harbour Beach, FL 32937-4922 Ph: (321) 777-2273 | Kimberly J Prough, PAC 2254 Highway A1a, Indian Harbour Beach, FL 32937-4922 Ph: (321) 777-2273 |
Frederick Scott Biggs, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2254 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 321-777-2273 Fax: 321-779-7425 | |
Nicole Kristine Trio, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 Indian Harbour Ct, Indian Harbour Beach, FL 32937 Phone: 321-271-1249 | |
Kristen Hoffower, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 890 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937 Phone: 321-459-4855 | |
Nicholle C Rothengass, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2254 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 813-786-2691 Fax: 321-779-7425 | |
Corey Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 229 Shore Ln, Indian Harbour Beach, FL 32937 Phone: 321-848-1784 |