| Mrs Kelly Renee Shank, CRNP | |
|
102 Technology Dr Ste 210e, Butler, PA 16001-1784 | |
| (724) 284-4000 | |
| Not Available |
| Full Name | Mrs Kelly Renee Shank |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 102 Technology Dr Ste 210e, Butler, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528573490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN547582 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP018303 (Pennsylvania) | Primary |
| Entity Name | Geskin Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447812607 PECOS PAC ID: 4981006640 Enrollment ID: O20210719000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly Renee Shank, CRNP 128 Valleybrook Dr, Valencia, PA 16059-1430 Ph: (724) 263-6598 | Mrs Kelly Renee Shank, CRNP 102 Technology Dr Ste 210e, Butler, PA 16001-1784 Ph: (724) 284-4000 |
Kristyn Holmes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 389 New Castle Rd, Butler, PA 16001 Phone: 724-282-2216 | |
Allison Marie Hough, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250b Butler Cmns, Butler, PA 16001 Phone: 724-284-4044 | |
Mrs. Jeanine M Wigton, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 250b Butler Cmns, Butler, PA 16001 Phone: 724-284-4044 | |
Megan Marie Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Sunset Dr Ste 2, Butler, PA 16001 Phone: 724-282-2730 | |
Dr. Jason Matthew Dorich, DNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 N Duffy Rd, Butler, PA 16001 Phone: 800-362-8262 | |
Tricia Leight, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Way, Butler, PA 16001 Phone: 724-283-6666 | |
Mrs. Jessica Leah Fate, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Hollywood Dr, Butler, PA 16001 Phone: 412-362-8677 |