Jacquelyn Rose Kemnic, RDN, LD is a
Dietitian, Registered based in Willard, Missouri. Jacquelyn Rose Kemnic is licensed to practice in Missouri (license number 2017030950) and her current practice location is
Heart Center, 1500 N Oakland Ave, Willard, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 328-6462.
NPI number for Jacquelyn Rose Kemnic is 1073022406 and her current mailing address is 1500 N Oakland Ave, Bolivar, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073022406.
Healthcare Provider's Profile
Full Name | Jacquelyn Rose Kemnic |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | Heart Center, Willard, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073022406
- Provider Enumeration Date: 09/28/2017
- Last Update Date: 09/28/2017
Medical Identifiers
Medical identifiers for Jacquelyn Rose Kemnic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073022406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2017030950 (Missouri) | 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. Jacquelyn Rose Kemnic 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 |
Jacquelyn Rose Kemnic, RDN, LD 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 328-6462 | Jacquelyn Rose Kemnic, RDN, LD Heart Center, 1500 N Oakland Ave, Willard, MO 65613 Ph: (417) 328-6462 |
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