| Kelly L. Cobb, Md, Apmc | |
|
605 Silverstone Rd Ste 100 Lafayette LA 70508-6899 | |
| (337) 266-9985 | |
| (337) 266-4775 |
| Full Name | Kelly L. Cobb, Md, Apmc |
|---|---|
| Speciality | Clinic/Center |
| Location | 605 Silverstone Rd Ste 100, Lafayette, Louisiana |
| Authorized Official Name and Position | Kasy L Mire (OFFICE MANAGER) |
| Authorized Official Contact | 3372669985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly L. Cobb, Md, Apmc 605 Silverstone Rd Ste 100 Lafayette LA 70508-6899 Ph: (337) 266-9985 | Kelly L. Cobb, Md, Apmc 605 Silverstone Rd Ste 100 Lafayette LA 70508-6899 Ph: (337) 266-9985 |
| NPI Number | 1063698462 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 02/17/2023 |
| Medicare PECOS PAC ID | 8224114269 |
|---|---|
| Medicare Enrollment ID | O20080401000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063698462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | BC201667 (Louisiana) | Primary |
| Provider Name | Kelly L Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598732349 PECOS PAC ID: 6901850940 Enrollment ID: I20080401000025 |
| Provider Name | Beth A Degeyter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366157737 PECOS PAC ID: 1153786918 Enrollment ID: I20230501000004 |
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