| Katelyn Graham, | |
|
179 Independence Rd Ste 103, East Stroudsburg, PA 18301-9207 | |
| (570) 426-2330 | |
| Not Available |
| Full Name | Katelyn Graham |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 179 Independence Rd Ste 103, East Stroudsburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174232383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86150667 (Maryland) | Secondary |
| 133V00000X | Dietitian, Registered | DN007297 (Pennsylvania) | Primary |
| Provider Name | Family Care Centers Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| Provider Name | Valley Health Partners Community Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770118648 PECOS PAC ID: 4284065327 Enrollment ID: O20200505003199 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Graham, 179 Independence Rd, East Stroudsburg, PA 18301-9207 Ph: () - | Katelyn Graham, 179 Independence Rd Ste 103, East Stroudsburg, PA 18301-9207 Ph: (570) 426-2330 |
Mrs. Stephanie Ann Horn, MS RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Plaza Court Suite B, Pocono Internal Medicine, East Stroudsburg, PA 18301 Phone: 570-421-8526 Fax: 570-421-7899 | |
Lacey Yzeik, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-421-4000 Fax: 570-420-2444 | |
Pmc Behavioral Health Dietitian Medicare: Not Enrolled in Medicare Practice Location: 206 E Brown St, East Stroudsburg, PA 18301 Phone: 570-421-4000 Fax: 570-420-4948 | |
Christina Brecht, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Washington St, East Stroudsburg, PA 18301 Phone: 570-426-7380 | |
Christiana E Williams, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 202 Creek Run, East Stroudsburg, PA 18302 Phone: 610-425-0234 | |
Mrs. Amy F Hollister, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Washington St, East Stroudsburg, PA 18301 Phone: 570-426-7150 Fax: 570-426-9484 |