Holly Kuckelman, RDN, LD is a
Dietitian, Registered based in Hiawatha, Kansas. Holly Kuckelman is licensed to practice in Kansas (license number 2116) and her current practice location is
300 Utah St, Hiawatha, Kansas. She can be reached at her office (for appointments etc.) via phone at
(785) 742-2131.
NPI number for Holly Kuckelman is 1073040622 and her current mailing address is 908 N 11th St, Seneca, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073040622.
Healthcare Provider's Profile
Full Name | Holly Kuckelman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 300 Utah St, Hiawatha, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073040622
- Provider Enumeration Date: 05/15/2017
- Last Update Date: 05/15/2017
Medical Identifiers
Medical identifiers for Holly Kuckelman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073040622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2116 (Kansas) | 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. Holly Kuckelman 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 |
Holly Kuckelman, RDN, LD 908 N 11th St, Seneca, KS 66538-1672 Ph: () - | Holly Kuckelman, RDN, LD 300 Utah St, Hiawatha, KS 66434-2314 Ph: (785) 742-2131 |
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