Kenneth Gayle Lawlor (NPI# 1902917289, PAC ID# 1456448067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1902917289 |
| PAC ID by PECOS | 1456448067 |
| Professional Enrollment ID | I20101202000114 |
| Full Name | Kenneth Gayle Lawlor |
| Address |
3108 Clearwater Dr Suite A Prescott AZ 86305-7170 |
| Gender | M |
| Medical School | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2005 |
| Primary Specialty | RHEUMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030012 | YAVAPAI REGIONAL MEDICAL CENTER |
| 030007 | VERDE VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3108 Clearwater Dr, Suite A, Prescott, AZ 86305-7170 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
3108 CLEARWATER DR SUITE A |
| City | PRESCOTT |
| State | AZ |
| Zip | 86305-7170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila Kaye Busch | Nurse Practitioner | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 | |
| Brian A Artzberger | Family Practice | Brian A. Artzberger Do PC | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 |
| Jennifer L Slocum Waara | Family Practice | Waara Family Medicine, LLC | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 |
| Andrew J Nelson Iii | Chiropractic | 936 12th Pl, Prescott, AZ 86305-1401 | |
| Richard Allen Cirelli | Dermatology | 955 Black Dr, Suite A, Prescott, AZ 86305-1403 | |
| John Brit Haws | Physical Therapy | Peterson Pt LLC | 1320 W Iron Springs Rd, Prescott, AZ 86305-1414 |
| Brek L Peterson | Physical Therapy | Peterson Pt LLC | 1320 W Iron Springs Rd, Prescott, AZ 86305-1414 |
| John T Cox | Podiatry | J Todd Cox Pllc | 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 |
| Jeffrey T Osburn | Obstetrics/gynecology | Pwc II | 919 12th Pl, Suite 1, Prescott, AZ 86305-1433 |
| Blake J Peterson | Podiatry | J Todd Cox Pllc | 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 |
| Find all physicians in zip 86305 | |||
| City | PRESCOTT |
| Zip Code | 86305 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | PRESCOTT + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Kenneth Gayle Lawlor.
| 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.