Kellye Singletary (NPI# 1063433324, PAC ID# 5698918480) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1063433324 |
| PAC ID by PECOS | 5698918480 |
| Professional Enrollment ID | I20130827000045 |
| Full Name | Kellye Singletary |
| Organization Legal Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Address |
1425 W Broadway Louisville KY 40203-2059 |
| Phone Number | 5025842992 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1658268974 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180013 | THE MEDICAL CENTER (BOWLING GREEN) |
| Address | Phone | Organization |
|---|---|---|
| 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2709015000 | LIFESKILLS, INC |
| 1425 W Broadway, Louisville, KY 40203-2059 | 5025842992 | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| 3015 Wilson Ave, Louisville, KY 40211-1969 | 5027744401 | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Organization Legal Name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miasha Renee Crutchfield | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Sharon S Jamison | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
| Christopher John Florio | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| James Jerome Robinson | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
| Romeo S Ambrosio | Obstetrics/gynecology | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Lauren Slone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 |
| Lisa G Glass | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Dejuana N Frazier | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Erica Mahone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Gina M Beckford | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 3015 Wilson Ave, Louisville, KY 40211-1969 |
| Street Address |
1425 W BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip | 40203-2059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher John Florio | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Erica Mahone | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Allison K Broderick | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Carrie A. Frederick | Nurse Practitioner | Park Duvalle Community Health Center, Inc | 1425 W Broadway, Louisville, KY 40203-2059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhammad I Masroor | Geriatric Medicine | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Brooke A Miller | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Amy N Ledford | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Amanda J Wade | Nurse Practitioner | Louisville Geriatric Associates | 1015 Magazine St, Louisville, KY 40203-2017 |
| Tricia Lynn Palmer | Pain Management | American Pain Institute Inc | 645 S Roy Wilkins Ave, Suite 200, Louisville, KY 40203-2072 |
| Shaconya Richardson | Nurse Practitioner | American Urgent Care Centers, Psc | 645 Roy Wilkins Ave, Louisville, KY 40203-2072 |
| Julianne R Braun | Nurse Practitioner | Louisville Geriatric Associates Pllc | 645 S Roy Wilkens Ave, Louisville, KY 40203-2072 |
| David M Ehrhard | Chiropractic | 655 S Roy Wilkins Ave, Louisville, KY 40203-2072 | |
| Suhail I Haque | Pain Management | American Pain Institute Inc | 645 S Roy Wilkins Ave, Suite 200, Louisville, KY 40203-2072 |
| Angela Marie Urhammer | Nurse Practitioner | American Pain Institute Inc | 645 S Roy Wilkins Ave, Suite 200, Louisville, KY 40203-2072 |
| Find all physicians in zip 40203 | |||
| City | LOUISVILLE |
| Zip Code | 40203 |
| Specialty | PSYCHIATRY |
| City + Specialty | LOUISVILLE + PSYCHIATRY |
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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.