| Kylie Plummer, PA-C | |
|
2525 9th Ave, Suite 2a, Altoona, PA 16602-2014 | |
| (814) 943-7546 | |
| (814) 943-7543 |
| Full Name | Kylie Plummer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2525 9th Ave, Altoona, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669709747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA053853 (Pennsylvania) | Primary |
| Entity Name | Keystone Dermatology & Center for Skin Surgery, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558549733 PECOS PAC ID: 4385714765 Enrollment ID: O20080529000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Kylie Plummer, PA-C 2525 9th Ave, Suite 2a, Altoona, PA 16602-2014 Ph: (814) 943-7546 | Kylie Plummer, PA-C 2525 9th Ave, Suite 2a, Altoona, PA 16602-2014 Ph: (814) 943-7546 |
Christopher Holland, Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-2011 |
Deanna Marie Maurer, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 |
Jenna N Rieg, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Howard Ave, Altoona, PA 16601 Phone: 814-889-3600 |
Rachel Elizabeth Ronczka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-6157 |
Alyssa Marie Martyak, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 Valley View Blvd, Altoona, PA 16602 Phone: 814-946-5469 |
Taigen Dalton Hood, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 914 S 12th St, Altoona, PA 16602 Phone: 814-201-2309 |
Mandy K Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1516 9th Ave, Altoona, PA 16602 Phone: 814-889-4244 Fax: 814-889-4124 |