Kenneth L Hussey (NPI# 1841295938, PAC ID# 1355251026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1841295938 |
| PAC ID by PECOS | 1355251026 |
| Professional Enrollment ID | I20051229000635 |
| Full Name | Kenneth L Hussey |
| Organization Legal Name | BEAVER MEDICAL, LLC |
| Address |
850 N Main Milford UT 84751-0640 |
| Phone Number | 4353872471 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365352036 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 461305 | MILFORD VALLEY MEMORIAL HOSPITAL |
| 460007 | CEDAR CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 850 N Main, Milford, UT 84751-0640 | 4353872471 | BEAVER MEDICAL, LLC |
| Organization Legal Name | BEAVER MEDICAL, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin R Horton | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Wade Hollingshead | Nurse Practitioner | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Byron Noal Robinson | Family Practice | Beaver Medical, LLC | 451 N Main, Milford, UT 84751-0640 |
| Rebecca S Rasmusson | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Lance C Smith | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Richard Wade Oakden | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Rhett Roger Smith | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Joan Lee Yardley | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Lindsay A Cheney | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Roger Smith | Family Practice | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Street Address |
850 N MAIN |
| City | MILFORD |
| State | UT |
| Zip | 84751-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade Hollingshead | Nurse Practitioner | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Roger Smith | Family Practice | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byron Noal Robinson | Family Practice | Beaver Medical, LLC | 451 N Main, Milford, UT 84751-0640 |
| City | MILFORD |
| Zip Code | 84751 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MILFORD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth L Hussey.
| 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.