| |
142 Shavano, Crested Butte, CO 81224 | |
(970) 349-0767 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 142 Shavano, Crested Butte, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194817742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 2074, 142 Shavano St., Crested Butte, CO 81224-2074 Ph: (970) 349-0767 | 142 Shavano, Crested Butte, CO 81224 Ph: (970) 349-0767 |
Mrs. Kelli Rae Jennings, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 142 Shavano St, Crested Butte, CO 81224 Phone: 970-349-0767 Fax: 970-349-1251 | |
Kristen Osborn, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 711 Belleview Ave., Crested Butte, CO 81224 Phone: 617-447-5780 |