Dr Kay C Wiatr, MD in Russellville, KY - Dermatology

Dr Kay C Wiatr, MD is a Dermatology physician based in Russellville, Kentucky. Dr Kay C Wiatr is licensed to practice in Kentucky (license number 15401) and her current practice location is 1719 Nashville St, Suite C, Russellville, Kentucky. She can be reached at her office (for appointments etc.) via phone at (270) 726-7664.

NPI number for Dr Kay C Wiatr is 1164534038 and her current mailing address is 4667 Matlock Rd, Bowling Green, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164534038.

Contact Information

	Dr Kay C Wiatr, MD
	1719 Nashville St, Suite C, Russellville, KY 42276-8855
	(270) 726-7664
	(270) 726-9997

Physician's Profile

Full Name	Dr Kay C Wiatr
Gender	Female
Speciality	Dermatology
Location	1719 Nashville St, Russellville, Kentucky
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1164534038
Provider Enumeration Date: 08/31/2006
Last Update Date: 03/05/2008

Medical Identifiers

Medical identifiers for Dr Kay C Wiatr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164534038	NPI	-	NPPES
6415401600	Medicaid	KY
1063501	Other	KY	INDIVIDUAL PROVIDER NUMBE
65929481	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	15401 (Kentucky)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kay C Wiatr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kay C Wiatr, MD 4667 Matlock Rd, Bowling Green, KY 42104-8712 Ph: (270) 529-6271	Dr Kay C Wiatr, MD 1719 Nashville St, Suite C, Russellville, KY 42276-8855 Ph: (270) 726-7664

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Dr Kay C Wiatr, MD - Dermatology in Russellville, KY