Kevin Lee Larose, PHYSICIAN ASSISTANT - Physician Assistant in Fort Campbell, KY

Kevin Lee Larose, PHYSICIAN ASSISTANT is a Physician Assistant based in Fort Campbell, Kentucky. Kevin Lee Larose is licensed to practice in * (Not Available) (license number 1178786) and his current practice location is Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at (270) 798-8075.

NPI number for Kevin Lee Larose is 1033701719 and his current mailing address is 2493 Hattington Dr, Clarksville, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033701719.

Contact Information

Kevin Lee Larose, PHYSICIAN ASSISTANT
Blanchfield Army Community Hospital, 650 Joel Drive,
Fort Campbell, KY 42223
(270) 798-8075
Not Available



Provider's Profile

Full NameKevin Lee Larose
GenderMale
SpecialityPhysician Assistant
LocationBlanchfield Army Community Hospital, Fort Campbell, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033701719
  • Provider Enumeration Date: 02/04/2021
  • Last Update Date: 02/04/2021

Medical Identifiers

Medical identifiers for Kevin Lee Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033701719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1178786 (* (Not Available))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. Kevin Lee Larose 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 AddressPractice Location Address
Kevin Lee Larose, PHYSICIAN ASSISTANT
2493 Hattington Dr,
Clarksville, TN 37042-9509

Ph: (915) 500-9391
Kevin Lee Larose, PHYSICIAN ASSISTANT
Blanchfield Army Community Hospital, 650 Joel Drive,
Fort Campbell, KY 42223

Ph: (270) 798-8075

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› Verified 3 days ago


Physician Assistant Nurses in Fort Campbell, KY

Christopher Alyn Peterson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-412-3535    
Gregory Hershey,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8727    Fax: 270-956-0180
Angela Liszewski, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-978-8400    
Matthew Bedinghaus,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Mark Leon Siebe, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8727    
Jessica Johns, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223
Phone: 270-798-4677    

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