| Mr Michael Kenneth Kite, CRNA | |
|
20 Medical Village Dr, Ste 258 Independent Anesthesiologists, Edgewood, KY 41017-5401 | |
| (859) 301-2211 | |
| Not Available |
| Full Name | Mr Michael Kenneth Kite |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 20 Medical Village Dr, Edgewood, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154623825 | NPI | - | NPPES |
| 3123597 | Medicaid | OH | |
| 201012210 | Medicaid | IN | |
| 000000691665 | Other | ANTHEM | |
| 7100146600 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1112744 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 86720 (Kentucky) | Primary |
| Entity Name | Anesthesia Group Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Kenneth Kite, CRNA 28 Glenridge Dr, Cold Spring, KY 41076-9086 Ph: (513) 807-2332 | Mr Michael Kenneth Kite, CRNA 20 Medical Village Dr, Ste 258 Independent Anesthesiologists, Edgewood, KY 41017-5401 Ph: (859) 301-2211 |
Cara Lindsay Hansen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867 | |
Ms. Stephanie Anne Stegman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867 | |
Elle Kaiser, DNP,CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867 | |
John F Wellbrock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Bernard F Nacu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr, Independent Anesthesiologists Psc, Edgewood, KY 41017 Phone: 859-341-7246 Fax: 859-341-7867 | |
Shalynn Hart, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 513-817-1150 | |
Mrs. Kristine Marie Maloney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-341-7867 |