Holly A Medlen (NPI# 1932571262, PAC ID# 7315236718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932571262 |
| PAC ID by PECOS | 7315236718 |
| Professional Enrollment ID | I20160524000798 |
| Full Name | Holly A Medlen |
| Organization Legal Name | MEDIQUICK CLINICS OF KANSAS LLC |
| Address |
1262 W Amity St Louisburg KS 66053-7815 |
| Phone Number | 9138372500 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173753829 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170014 | RANSOM MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1262 W Amity St, Louisburg, KS 66053-7815 | 9138372500 | MEDIQUICK CLINICS OF KANSAS LLC |
| 120 E 19th St, Suite A, Ottawa, KS 66067-4300 | 7852144903 | OTTAWA FAMILY PHYSICIANS, CHARTERED |
| Organization Legal Name | MEDIQUICK CLINICS OF KANSAS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa L Blake | Nurse Practitioner | Mediquick Clinics of Kansas LLC | 1262 W Amity St, Louisburg, KS 66053-7815 |
| Kelli E Docman | Nurse Practitioner | Mediquick Clinics of Kansas LLC | 1262 W Amity St, Louisburg, KS 66053-7815 |
| Street Address |
1262 W AMITY ST |
| City | LOUISBURG |
| State | KS |
| Zip | 66053-7815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa L Blake | Nurse Practitioner | Mediquick Clinics of Kansas LLC | 1262 W Amity St, Louisburg, KS 66053-7815 |
| Kelli E Docman | Nurse Practitioner | Mediquick Clinics of Kansas LLC | 1262 W Amity St, Louisburg, KS 66053-7815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Hill | Optometry | 3 S Berkley St, Louisburg, KS 66053-3578 | |
| Damon M Dennis | Chiropractic | 11 S Broadway, Louisburg, KS 66053-3613 | |
| Robin M Spencer | Nurse Practitioner | Olathe Health Physicians Inc | 102 W Crestview Cir, Ohfm Louisburg and Neurosurgery Specialists, Louisburg, KS 66053-4184 |
| Darcy R Shane | Chiropractic | 825 W Amity St, Louisburg, KS 66053-6320 | |
| Ryan L. Dansel | Chiropractic | 1250 W Amity St, Dansel Chiropractic and Acupuncture, Louisburg, KS 66053-7815 |
| City | LOUISBURG |
| Zip Code | 66053 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISBURG + NURSE PRACTITIONER |
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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.