| Ms Lou Cook Kline, FNP | |
|
2008 N Walnut St, Hartford City, IN 47348-1364 | |
| (931) 253-1110 | |
| Not Available |
| Full Name | Ms Lou Cook Kline |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2008 N Walnut St, Hartford City, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932424652 | NPI | - | NPPES |
| P00855127 | Other | IN | RR MEDICARE |
| 200980620 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71003226 (Indiana) | Primary |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lou Cook Kline, FNP Po Box 306417, Nashville, TN 37230-6417 Ph: (931) 253-1110 | Ms Lou Cook Kline, FNP 2008 N Walnut St, Hartford City, IN 47348-1364 Ph: (931) 253-1110 |
Chantel S Willmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-5776 Fax: 765-348-8335 | |
Malisha Dawn Morris, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 E North St Unit A, Hartford City, IN 47348 Phone: 817-876-9653 | |
Sandra Duggan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-5776 Fax: 765-348-3088 | |
Kaitlyn Marie Ort, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-5773 |