Kassidy D Nelson (NPI# 1023670932, PAC ID# 4981939642) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023670932 |
| PAC ID by PECOS | 4981939642 |
| Professional Enrollment ID | I20190717002588 |
| Full Name | Kassidy D Nelson |
| Organization Legal Name | RYAN J. KUEKER, OD, PA |
| Address |
525 W Bertrand Ave St Mary KS 66536-1618 |
| Phone Number | 7854372978 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7810922390 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 525 W Bertrand Ave, St Mary, KS 66536-1618 | 7854372978 | RYAN J. KUEKER, OD, PA |
| Organization Legal Name | RYAN J. KUEKER, OD, PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Jennings Kueker | Optometry | Ryan J. Kueker, Od, Pa | 448 W 3rd St, Onaga, KS 66521-0008 |
| Street Address |
525 W BERTRAND AVE |
| City | ST MARY |
| State | KS |
| Zip | 66536-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Jones | Family Medicine | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | |
| Gary E Cleveland | Chiropractic | 503 E Bertrand Ave, Saint Marys, KS 66536-1651 | |
| John M Wertin | Chiropractic | 513 W Bertrand Ave, St Marys, KS 66536-1658 |
| City | ST MARY |
| Zip Code | 66536 |
| Specialty | OPTOMETRY |
| City + Specialty | ST MARY + OPTOMETRY |
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| 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.