Kylie Nuckols (NPI# 1558514281, PAC ID# 1153630181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558514281 |
| PAC ID by PECOS | 1153630181 |
| Professional Enrollment ID | I20151014001525 |
| Full Name | Kylie Nuckols |
| Organization Legal Name | KELLY K MCCANN MD INC |
| Address |
1831 Orange Ave C Costa Mesa CA 92627-2839 |
| Phone Number | 9495745800 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860578440 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 1831 Orange Ave C, Costa Mesa, CA 92627-2839 | 9495745800 | KELLY K MCCANN MD INC |
| Organization Legal Name | KELLY K MCCANN MD INC |
| Physicians | 1 |
| Street Address |
1831 ORANGE AVE C |
| City | COSTA MESA |
| State | CA |
| Zip | 92627-2839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly K Mccann | Internal Medicine | 1831 Orange Ave C, Costa Mesa, CA 92627-2839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babak Shahrestani | Chiropractic | 2328 Newport Blvd, Costa Mesa, CA 92627-1548 | |
| Khiem D Dao | Orthopedic Surgery | 2314 Newport Blvd, Costa Mesa, CA 92627-1548 | |
| Sean Kim | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Moira Docherty | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Michael K Mckindley | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Ann Ludolph | Physical Therapy | Progressive Physical Therapy and Rehabilitation Inc | 129 W Wilson St, Suite 202, Costa Mesa, CA 92627-1586 |
| Derek D Duong | Oral Surgery | 2263 Fairview Rd, Suite K, Costa Mesa, CA 92627-1672 | |
| Jennifer Joseph Baltazar | Physician Assistant | John F. Lalonde, D.o., Inc. | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 |
| Rachna J Lalonde | Physical Therapy | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 | |
| John F Lalonde | Family Medicine | John F. Lalonde, D.o., Inc. | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 |
| Find all physicians in zip 92627 | |||
| City | COSTA MESA |
| Zip Code | 92627 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COSTA MESA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kylie Nuckols.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.