| Ms Kalee D Capps, PA-C | |
|
210 Black Gold Blvd, Hazard, KY 41701-2620 | |
| (606) 436-0711 | |
| Not Available |
| Full Name | Ms Kalee D Capps |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 210 Black Gold Blvd, Hazard, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376367128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA3513 (Kentucky) | Primary |
| Entity Name | Kentucky Mountain Health Alliance, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407043979 PECOS PAC ID: 8123112687 Enrollment ID: O20140605001605 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kalee D Capps, PA-C 210 Black Gold Blvd Ste 106, Hazard, KY 41701-2620 Ph: (606) 436-0711 | Ms Kalee D Capps, PA-C 210 Black Gold Blvd, Hazard, KY 41701-2620 Ph: (606) 436-0711 |
Beverly Paige Lewis, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701 Phone: 606-436-0711 Fax: 606-436-0096 |
Mary A Engle, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 271 E Main St, Hazard, KY 41701 Phone: 606-439-1316 Fax: 606-435-0752 |
Brett Marvin Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-449-6600 |
Crystal D Gibson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Town And Country Ln, Suite 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400 |
Sherry Larrisa Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701 Phone: 606-439-1300 Fax: 606-439-1400 |
Tiffany Edmonson, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 100 Medical Center Dr, Hazard, KY 41701 Phone: 606-706-2611 |
Johnathan O'neil Davidson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Center Dr, Hazard, KY 41701 Phone: 606-439-6779 Fax: 606-487-8448 |