Heather L Killough (NPI# 1720513658, PAC ID# 4082981246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720513658 |
| PAC ID by PECOS | 4082981246 |
| Professional Enrollment ID | I20170519000422 |
| Full Name | Heather L Killough |
| Organization Legal Name | HOPE MEDICAL CLINIC INC |
| Address |
145 Shake Rag Rd Clinton AR 72031-6682 |
| Phone Number | 5017457161 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739223462 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| 041313 | OZARK HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 145 Shake Rag Rd, Clinton, AR 72031-6682 | 5017457161 | HOPE MEDICAL CLINIC INC |
| Organization Legal Name | HOPE MEDICAL CLINIC INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Melin | Family Medicine | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Nichole D Clark | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Jordan B Kendrick | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Dana S Treat | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Pamela A Coyle | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Sherry L Gilbert | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Street Address |
145 SHAKE RAG RD |
| City | CLINTON |
| State | AR |
| Zip | 72031-6682 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Melin | Family Medicine | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Nichole D Clark | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Jordan B Kendrick | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Dana S Treat | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Pamela A Coyle | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Sherry L Gilbert | Nurse Practitioner | Hope Medical Clinic Inc | 145 Shake Rag Rd, Clinton, AR 72031-6682 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haleigh Trotter | Clinical Social Worker | Boston Mountain Rural Health Center Inc | 465 Medical Ctr Pkwy, Clinton, AR 72031-2031 |
| David J Geidl | Family Practice | Boston Mountain Rural Health Center Inc | 465 Medical Ctr Pkwy, Clinton, AR 72031-2031 |
| Katrina Barton | Physical Therapy | Matthews Physical Therapy | 230 Hwy 65 N, Suite 6, Clinton, AR 72031-6390 |
| Kamal Patel | Hematology/oncology | Central Arkansas Radiation Therapy Inst Inc | 2500 Hwy 65 S, Clinton, AR 72031-6588 |
| Stanko Vuk | Emergency Medicine | Ozark Health, Inc | 2500 Hwy 65 S, Clinton, AR 72031-6588 |
| Patricia A Kelly | Family Practice | Ozark Health, Inc | 2500 Hwy 65 S, Clinton, AR 72031-6588 |
| Christina Hall | Clinical Social Worker | Birch Tree Communities Inc | 242 Shake Rag Rd, Clinton, AR 72031-6629 |
| Bambi M Parks | Clinical Social Worker | Conway Counseling and Psychological Services Pllc | 224 Shake Rag Rd, Clinton, AR 72031-6629 |
| Donette Boyett | Clinical Social Worker | Birch Tree Communities Inc | 242 Shake Rag Rd, Clinton, AR 72031-6629 |
| Dusty Linn | Clinical Social Worker | Birch Tree Communities Inc | 242 Shake Rag Rd, Clinton, AR 72031-6629 |
| Find all physicians in zip 72031 | |||
| City | CLINTON |
| Zip Code | 72031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLINTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Heather L Killough.
| 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.