Dr KELLY L LUSCOMB is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
BAY CLINIC, INC.
1178 KINOOLE ST
HILO
HI
967207206
Tel: 8089691427
Npi | 1053746941 |
Pac Id | 5395968499 |
Professional Enrollment Id | I20140519000367 |
Last Name | LUSCOMB |
First Name | KELLY |
Middle Name | L |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
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Organization Legal Name | BAY CLINIC, INC. |
Group Practice Pac Id | 5890699037 |
Number Of Group Practice Members | 17 |
Line 1 Street Address | 1178 KINOOLE ST |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | HILO |
State | HI |
Zip Code | 967207206 |
Phone Number | 8089691427 |
Hospital Affiliation Ccn 1 | 120005 |
Hospital Affiliation Lbn 1 | HILO MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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