| Victoria Michelle Kennedy, FNP | |
|
3495 Iron Horse Rd, Ladson, SC 29456-4319 | |
| (843) 793-5970 | |
| Not Available |
| Full Name | Victoria Michelle Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 3495 Iron Horse Rd, Ladson, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043477912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3438 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Patient Care Of South Carolina Pc | 1951672617 | 157 |
| Ch Specialty Services Sc Llc | 6608182993 | 150 |
| Entity Name | Ch Specialty Services Sc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450 |
| Entity Name | Elite Patient Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Michelle Kennedy, FNP Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 572-7727 | Victoria Michelle Kennedy, FNP 3495 Iron Horse Rd, Ladson, SC 29456-4319 Ph: (843) 793-5970 |
Haley Mcclure Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Treeland Dr Ste B, Ladson, SC 29456 Phone: 843-277-2240 | |
Wilson Mccall Fitchett, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 Fax: 843-419-5391 | |
Kiara Baylock, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8536 Palmetto Commerce Pkwy Ste 401, Ladson, SC 29456 Phone: 854-529-3193 | |
Chiquita Anderson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9698 Patriot Blvd Apt 928, Ladson, SC 29456 Phone: 843-518-1376 | |
Chelsea Kelly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9537 S Cardinal Dr, Ladson, SC 29456 Phone: 843-997-4024 | |
Shelli Gibbs, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 267 Treeland Dr, Suite C, Ladson, SC 29456 Phone: 843-277-2240 |