Kimberly J Cecil-riddle (NPI# 1215171251, PAC ID# 7315096641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215171251 |
| PAC ID by PECOS | 7315096641 |
| Professional Enrollment ID | I20160518002704 |
| Full Name | Kimberly J Cecil-riddle |
| Address |
2801 Walter Garrett Ln Oak Grove KY 42262-9367 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180004 | OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL |
| 180051 | JENNIE STUART MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2801 Walter Garrett Ln, Oak Grove, KY 42262-9367 |
| Street Address |
2801 WALTER GARRETT LN |
| City | OAK GROVE |
| State | KY |
| Zip | 42262-9367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Wilson-hargrove | Clinical Social Worker | Pennyroyal Regional Mental Health Mental Retardation Board Inc | 15095 Fort Campbell Blvd, Suite B, Oak Grove, KY 42262-9301 |
| City | OAK GROVE |
| Zip Code | 42262 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAK GROVE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly J Cecil-riddle.
| 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.