| Kimberly Menique Bentley, FNP-BC | |
| 
					212 Kroger Way, Versailles, KY 40383-1991  | |
| (859) 297-1072 | |
| (859) 297-1073 | 
| Full Name | Kimberly Menique Bentley | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 212 Kroger Way, Versailles, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053018622 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 1112837 (Kentucky) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 3019026 (Kentucky) | Primary | 
| Entity Name | Kiosk Medicine Kentucky Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly Menique Bentley, FNP-BC Po Box 932958, Cleveland, OH 44193-0028 Ph: () -  | Kimberly Menique Bentley, FNP-BC 212 Kroger Way, Versailles, KY 40383-1991 Ph: (859) 297-1072  | 
Danaya Lee Hall, SWHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2050 Lexington Rd, Versailles, KY 40383 Phone: 859-251-4700  | |
David L. Manus, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 Marsailles Dr, Versailles, KY 40383 Phone: 859-297-1072 Fax: 859-297-1073  | |
Mrs. Abonge Georgette Ngembus-nihngieh, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2050 Lexington Rd, Versailles, KY 40383 Phone: 703-597-4357  | |
Michelle Grace Urquhart, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Sheffield Dr, Versailles, KY 40383 Phone: 859-948-9670  | |
Ms. Catherine Permin, APRN, FNP, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 444 Quail Run Rd, Versailles, KY 40383 Phone: 859-321-3671  | |
Markell Wylie, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2050 Lexington Rd, Versailles, KY 40383 Phone: 910-379-4456  | |
Jill C Wozniak, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Crossfield Dr Ste A, Versailles, KY 40383 Phone: 859-873-9843 Fax: 859-873-0972  |