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Kelly Marie Cabana

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

107 W 19th St, Panama City, FL 32405-4647

PECOS Enrollment

This provider is enrolled in PECOS as KELLY CABANA.

Based on the most recent information from CMS, provider Kelly Marie Cabana is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1235404641
Provider Type
Individual
Full Name
Cabana, Kelly Marie
Credential
ARNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/19/2012
Last Updated
3/19/2012

Contact Information

Practice Location

107 W 19th St, Panama City, FL 32405-4647

(850) 785-3040

(850) 785-2552

Mailing Location

5041 N 12th Ave, Pensacola, FL 32504-8916

(850) 433-2155

(850) 202-0600

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9165075 Florida

Kelly Marie Cabana

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Barker, Charly

Martin, Jason M

Boyd, Rachael

Patel, Hetvi D

Roberts, Doris M

Williams, Amber Lynn

Guy, Sara Elizabeth

Four Pillars Healthcare Pllc

Poston, Jennifer Gabriele

Rogers, Linae Noel