| Mrs Diana L Kenyon, CRNP | |
|
875 Friendship Rd, Tallassee, AL 36078-1234 | |
| (334) 283-3111 | |
| Not Available |
| Full Name | Mrs Diana L Kenyon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 875 Friendship Rd, Tallassee, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952799371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-113115 (Alabama) | Primary |
| Entity Name | Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diana L Kenyon, CRNP 875 Friendship Rd, Tallassee, AL 36078-1234 Ph: (334) 283-3111 | Mrs Diana L Kenyon, CRNP 875 Friendship Rd, Tallassee, AL 36078-1234 Ph: (334) 283-3111 |
Mr. Deray Junior Williams, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-1060 | |
Brandi Criswell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 | |
Mrs. Adrienne Bolan Goggans, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 875 Friendship Rd, Tallassee, AL 36078 Phone: 334-283-3111 Fax: 334-283-3656 | |
Elizabeth R Bacchus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2256 Gilmer Ave, Tallassee, AL 36078 Phone: 334-567-8633 | |
Barbara Jean Watts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Herren Hill Rd, Tallassee, AL 36078 Phone: 334-283-3477 Fax: 334-283-4162 | |
Nicole G Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2639 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-3975 | |
Sekeita B Clausell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1608a Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-2291 |