| Lakynn R Bradshaw, APRN | |
|
1307 Porter Wagoner Blvd, West Plains, MO 65775-1828 | |
| (417) 255-8645 | |
| Not Available |
| Full Name | Lakynn R Bradshaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1307 Porter Wagoner Blvd, West Plains, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174254585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022031561 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 220776 (Arkansas) | Primary |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Entity Name | Wound Care Plus Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841657053 PECOS PAC ID: 6709175912 Enrollment ID: O20160511001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakynn R Bradshaw, APRN 1128 Mount Calm Rd, Viola, AR 72583-9445 Ph: (870) 371-0380 | Lakynn R Bradshaw, APRN 1307 Porter Wagoner Blvd, West Plains, MO 65775-1828 Ph: (417) 255-8645 |
Mr. Larry Ray Kennon, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Jana Ethel Reid, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-349-2334 | |
Susan Kenslow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-257-9111 | |
James Streff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 Alaska St, Suite 114, West Plains, MO 65775 Phone: 417-257-5950 | |
Kristen Rene' White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 | |
Cypress Cheyenne Wood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 Kentucky Ave, West Plains, MO 65775 Phone: 417-257-5972 |