Clinton Kiteck (NPI# 1447437116, PAC ID# 7416023429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1447437116 |
| PAC ID by PECOS | 7416023429 |
| Professional Enrollment ID | I20080827000344 |
| Full Name | Clinton Kiteck |
| Organization Legal Name | T J HEALTH COLUMBIA INC |
| Address |
810 Jamestown St Columbia KY 42728-1010 |
| Phone Number | 2703844764 |
| Gender | M |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7113224783 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180149 | TJ HEALTH COLUMBIA |
| 180087 | TAYLOR REGIONAL HOSPITAL |
| 181330 | RUSSELL COUNTY HOSPITAL |
| 180017 | T J SAMSON COMMUNITY HOSPITAL |
| 181325 | JANE TODD CRAWFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 Bomar Hts, Columbia, KY 42728-1511 | 2703842153 | T J HEALTH COLUMBIA INC |
| 810 Jamestown St, Columbia, KY 42728-1010 | 2703844764 | T J HEALTH COLUMBIA INC |
| Organization Legal Name | T J HEALTH COLUMBIA INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Doolin | Nurse Practitioner | T J Health Columbia Inc | 902 Westlake Dr, Suite 101, Columbia, KY 42728-1149 |
| Nicole L Loy | Nurse Practitioner | T J Health Columbia Inc | 2465 Lakeway Dr, Russell Springs, KY 42642-4510 |
| Ashley L Robertson | Nurse Practitioner | T J Health Columbia Inc | 810 Jamestown St, Columbia, KY 42728-1010 |
| Teresa L Sheffield | Nurse Practitioner | T J Health Columbia Inc | 800 N Main St, Suite B, Tompkinsville, KY 42167-1037 |
| Constance R Prostko | Nurse Practitioner | T J Health Columbia Inc | 1704 W Stockton St, Edmonton, KY 42129-8137 |
| Eric W Townsend | Nurse Practitioner | T J Health Columbia Inc | 810 Jamestown St, Columbia, KY 42728-1010 |
| Latasha E Gilpatrick | Nurse Practitioner | T J Health Columbia Inc | 2465 Lakeway Dr, Russell Springs, KY 42642-4510 |
| Paul D Dunn | Family Medicine | T J Health Columbia Inc | 1704 W Stockton St, Edmonton, KY 42129-8137 |
| Khabeer M Abdul | Nurse Practitioner | T J Health Columbia Inc | 1704 W Stockton St, Edmonton, KY 42129-8137 |
| Street Address |
810 JAMESTOWN ST |
| City | COLUMBIA |
| State | KY |
| Zip | 42728-1010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley L Robertson | Nurse Practitioner | T J Health Columbia Inc | 810 Jamestown St, Columbia, KY 42728-1010 |
| Eric W Townsend | Nurse Practitioner | T J Health Columbia Inc | 810 Jamestown St, Columbia, KY 42728-1010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald P Rogers | Chiropractic | 920 Russell Rd, Columbia, KY 42728-1036 | |
| Anthony W Grant | Chiropractic | 908 Russell Rd, Columbia, KY 42728-1036 | |
| Patricia L Doolin | Nurse Practitioner | T J Health Columbia Inc | 902 Westlake Dr, Suite 101, Columbia, KY 42728-1149 |
| Elizabeth Partin | Nurse Practitioner | Family First Health Care, Pllc | 363 Office Park Dr, Columbia, KY 42728-1392 |
| Julie Gaskins | Nurse Practitioner | Family First Health Care, Pllc | 363 Office Park Dr, Columbia, KY 42728-1392 |
| Jaclyn K Cooper-henson | Chiropractic | 117 Merchant St, Columbia, KY 42728-1437 | |
| Viorel Boborodea | Family Medicine | 803 Burkesville St, Columbia, KY 42728-1655 | |
| Martha A Burton | Family Medicine | Health Solutions LLC | 805 Burkesville St, Columbia, KY 42728-1655 |
| Beverly A Szukis | Nurse Practitioner | Health Solutions LLC | 805 Burkesville St, Columbia, KY 42728-1655 |
| Robert L Caudill | Psychiatry | Lake Cumberland Regional Mental Health Mental Retardation Board Inc . | 200 E Frazier St, Columbia, KY 42728-1915 |
| Find all physicians in zip 42728 | |||
| City | COLUMBIA |
| Zip Code | 42728 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COLUMBIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clinton Kiteck.
| 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.