Kevin Scott Weatherly (NPI# 1164785556, PAC ID# 6709150261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1164785556 |
| PAC ID by PECOS | 6709150261 |
| Professional Enrollment ID | I20170921001813 |
| Full Name | Kevin Scott Weatherly |
| Address |
5604 Wesley St Suite 101 Greenville TX 75402-6326 |
| Phone Number | 9038837792 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5604 Wesley St, Suite 101, Greenville, TX 75402-6326 | 9038837792 |
| Street Address |
5604 WESLEY ST SUITE 101 |
| City | GREENVILLE |
| State | TX |
| Zip | 75402-6326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria R Brun | Psychiatry | Gloria Rodarte Brun, M. D., P. A. | 5604 Wesley St, Suite 101, Greenville, TX 75402-6326 |
| Kamala D Fields | Nurse Practitioner | Gloria Rodarte Brun, M. D., P. A. | 5604 Wesley St, Suite 101, Greenville, TX 75402-6326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Lynn Gideon | Nurse Practitioner | Hunt Regional Medical Partners | 3206 Interstate 30, Suite B, Greenville, TX 75402 |
| Michael P Dunnigan | Dermatology | Oliver Street 5.01(a) Inc. | 8506 Wesley St, Us Dermatology Partners, Greenville, TX 75402-3812 |
| John C Lovelace | Optometry | 8709 Wesley St F, Greenville, TX 75402-3828 | |
| Matthew Bradbury | Psychiatry | 2710 Sunset Strip, Suite C, Greenville, TX 75402-3848 | |
| Todd Lane Billingsley | Physical Therapy | Healthtexas Provider Network | 4400 I H 30 W, 120 Baylor Scott and White, Greenville, TX 75402-4625 |
| Sonja C Cavett | Optometry | 2911 Terrell Rd E, Greenville, TX 75402-5567 | |
| Thomas J Goss | Chiropractic | 2824 Terrell Rd, Suite 204, Greenville, TX 75402-5568 | |
| Gurjeet S Kalra | Psychiatry | 2824 Terrell Rd, Suite 304, Greenville, TX 75402-5570 | |
| Cindy P Earl | Clinical Social Worker | Supportive Care LLC | 4910 Wellington St, Greenville, TX 75402-6007 |
| James Fox | Clinical Social Worker | Supportive Care LLC | 4910 Wellington St, Greenville, TX 75402-6007 |
| Find all physicians in zip 75402 | |||
| City | GREENVILLE |
| Zip Code | 75402 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | GREENVILLE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kevin Scott Weatherly.
| 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.