| Kortney Kyle Killgore-smith, ARNP | |
|
235 Main Street, Waitsburg, WA 99361 | |
| (509) 337-6311 | |
| (509) 337-6011 |
| Full Name | Kortney Kyle Killgore-smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 235 Main Street, Waitsburg, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023379989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60281165 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 223 |
| Entity Name | Columbia County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128911 PECOS PAC ID: 5597653758 Enrollment ID: O20040309000515 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Kortney Kyle Killgore-smith, ARNP 1012 South Third Street, Dayton, WA 99328 Ph: (509) 382-2531 | Kortney Kyle Killgore-smith, ARNP 235 Main Street, Waitsburg, WA 99361 Ph: (509) 337-6311 |
Mr. Glenn Arlin Silver, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 E 8th St, Waitsburg, WA 99361 Phone: 509-540-7208 | |
Dawn Meicher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Main St, Waitsburg, WA 99361 Phone: 509-337-6311 Fax: 509-522-2349 |