| Eventus Ecs - Kentucky, Pllc | |
|
828 Lane Allen Rd Ste 219 Lexington KY 40504-3659 | |
| (855) 743-2247 | |
| Not Available |
| Full Name | Eventus Ecs - Kentucky, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 828 Lane Allen Rd Ste 219, Lexington, Kentucky |
| Authorized Official Name and Position | Jennifer Rucci (OWNER) |
| Authorized Official Contact | 8557432247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Ecs - Kentucky, Pllc Po Box 1431 Dept. 423 Charlotte NC 28201-1431 Ph: (855) 743-2247 | Eventus Ecs - Kentucky, Pllc 828 Lane Allen Rd Ste 219 Lexington KY 40504-3659 Ph: (855) 743-2247 |
| NPI Number | 1396563276 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 2567990617 |
|---|---|
| Medicare Enrollment ID | O20250116002906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396563276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Steven R Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215934310 PECOS PAC ID: 6406754910 Enrollment ID: I20050510000331 |
| Provider Name | Laura L Faughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861519241 PECOS PAC ID: 1658462601 Enrollment ID: I20070807000027 |
| Provider Name | Jeremy D Engel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497792584 PECOS PAC ID: 4789689746 Enrollment ID: I20100115000004 |
| Provider Name | Kelly J Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518960681 PECOS PAC ID: 6608062443 Enrollment ID: I20120301000852 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20200520003009 |
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