Jenna King (NPI# 1588108187, PAC ID# 2668756644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1588108187 |
PAC ID by PECOS | 2668756644 |
Professional Enrollment ID | I20170313001063 |
Full Name | Jenna King |
Organization Legal Name | RENU MEDICAL AND SPA LLC |
Address |
2401 S Tucker Ave Suite 6 Pittsburg KS 66762-6619 |
Phone Number | 6203086123 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9739481573 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2401 S Tucker Ave, Suite 6, Pittsburg, KS 66762-6619 | 6203086123 | RENU MEDICAL AND SPA LLC |
Organization Legal Name | RENU MEDICAL AND SPA LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jacqueline Margaret Youtsos | Dermatology | Renu Medical and Spa LLC | 2401 S Tucker Ave, Suite 6, Pittsburg, KS 66762-6619 |
Street Address |
2401 S TUCKER AVE SUITE 6 |
City | PITTSBURG |
State | KS |
Zip | 66762-6619 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel J Koehn | Family Medicine | 2401 S Tucker Ave, Suite 2, Pittsburg, KS 66762-6619 | |
Mark D Carlson | Internal Medicine | 2401 S Tucker Ave, Suite 1, Pittsburg, KS 66762-6619 | |
Jacqueline Margaret Youtsos | Dermatology | Renu Medical and Spa LLC | 2401 S Tucker Ave, Suite 6, Pittsburg, KS 66762-6619 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
William T Carl | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Bethany Nicole Enoch | Family Medicine | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Kayla D Angleton | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Jay Justin Middleton | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Tonya Kendrick | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Curtis L Mellen | Physician Assistant | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Crystal D Merriman | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Trista Dawn King | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Brock A Boekhout | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
Find all physicians in zip 66762 |
City | PITTSBURG |
Zip Code | 66762 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PITTSBURG + 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.