Kathryn Hickok, RD | |
11670 Atwood Rd, Auburn, CA 95603-9522 | |
(530) 887-2800 | |
Not Available |
Full Name | Kathryn Hickok |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 11670 Atwood Rd, Auburn, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346916152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86116785 (* (Not Available)) | Primary |
Provider Name | Chapa-de Indian Health Program, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114057163 PECOS PAC ID: 4981688520 Enrollment ID: O20040614000473 |
Mailing Address | Practice Location Address |
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Kathryn Hickok, RD 98 Belmont Dr, Auburn, CA 95603-5514 Ph: (530) 368-9104 | Kathryn Hickok, RD 11670 Atwood Rd, Auburn, CA 95603-9522 Ph: (530) 887-2800 |
Laura Ann Seeman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5770 Bell Rd, Auburn, CA 95602 Phone: 530-269-1294 | |
Suaad Mami Marvin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11670 Atwood Rd, Auburn, CA 95603 Phone: 530-887-2800 | |
Daniele Grandmaison Kuhn, RD/RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13300 New Airport Rd Ste 100, Auburn, CA 95602 Phone: 530-889-8780 Fax: 530-889-8781 | |
Kaya Teh, MPH, RDN, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 11670 Atwood Rd, Auburn, CA 95603 Phone: 530-645-2022 | |
Sara Beth Bourgault, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 227 Poet Smith Dr, Auburn, CA 95603 Phone: 530-368-2156 | |
Maleah Staton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 845 Holly Hills Dr, Auburn, CA 95603 Phone: 530-308-3838 |