Kimberley K Privett (NPI# 1720337967, PAC ID# 5991957607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720337967 |
| PAC ID by PECOS | 5991957607 |
| Professional Enrollment ID | I20121204000045 |
| Full Name | Kimberley K Privett |
| Organization Legal Name | KENTUCKY MSO LLC |
| Address |
1140 Lexington Rd Georgetown KY 40324-9330 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749450633 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180092 | CLARK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1140 Lexington Rd, Georgetown, KY 40324-9330 | KENTUCKY MSO LLC | |
| 1154 Lexington Rd, Georgetown, KY 40324-9330 | 5028633303 | KENTUCKY MSO LLC |
| 129 Stone Trace Dr, Mt Sterling, KY 40353-9386 | 8594986006 | CLARK REGIONAL PHYSICIAN PRACTICES LLC |
| Organization Legal Name | KENTUCKY MSO LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Bond | Nurse Practitioner | Kentucky Mso LLC | 370 Amsden Ave, Suite 504, Versailles, KY 40383-6929 |
| Raymond Wechman Jr. | Family Medicine | Kentucky Mso LLC | 1502 Oxford Dr, Suite 100, Georgetown, KY 40324-8096 |
| Kent Edward Taylor | Medical Oncology | Kentucky Mso LLC | 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9362 |
| Joseph E Thomas | Cardiovascular Disease (cardiology) | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| James Robert Bailey | Gastroenterology | Kentucky Mso LLC | 1138 Lexington Rd, Suite 140, Georgetown, KY 40324-9672 |
| Henry R Preston | Family Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Leslie A Asbury | Otolaryngology | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Joel Anthony Knight | Internal Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Kelly R Burgess | Family Medicine | Kentucky Mso LLC | 1502 Oxford Dr, Suite 100, Georgetown, KY 40324-8096 |
| Andrew P Balbaugh | Internal Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Street Address |
1140 LEXINGTON RD |
| City | GEORGETOWN |
| State | KY |
| Zip | 40324-9330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Yezzo | Qualified Audiologist | Ear Nose and Throat Specialists Pllc | 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 |
| Kent Edward Taylor | Medical Oncology | Kentucky Mso LLC | 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9362 |
| Tara J Ramsey | Emergency Medicine | Southeastern Emergency Physicians LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Crystal Carpenter | Certified Registered Nurse Anesthetist (crna) | Kentucky Anesthesia Group Psc | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Joseph E Thomas | Cardiovascular Disease (cardiology) | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Kaci M Wathen | Qualified Audiologist | Ear Nose and Throat Specialists Pllc | 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 |
| Henry R Preston | Family Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Leslie A Asbury | Otolaryngology | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Ronald G Shashy Jr. | Otolaryngology | Ear Nose and Throat Specialists Pllc | 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 |
| Joel Anthony Knight | Internal Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilma J Peeples | Clinical Social Worker | 107 Frazier Sourt, 2c, Georgetown, KY 40324 | |
| Gary L Mills | Chiropractic | 407 S Broadway, Georgetown, KY 40324-1342 | |
| Tiffany M Shelton | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| Jessica L Henry | Nurse Practitioner | Minuteclinic Diagnostic of Kentucky LLC | 101 W Showalter Dr, Georgetown, KY 40324-2081 |
| James J Gullett | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| William W Richardson Ii | Ophthalmology | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Stefanie Adams | Optometry | Wwr, Psc | 103 S Bradford Ln, Suite 102, Georgetown, KY 40324-2336 |
| Ivan Morrin | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Brett A Oliver | Family Medicine | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Amy J Cox | Nurse Practitioner | Baptist Health Medical Group Inc | 210 Bevins Ln C, Georgetown, KY 40324-6127 |
| Find all physicians in zip 40324 | |||
| City | GEORGETOWN |
| Zip Code | 40324 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GEORGETOWN + 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.