Kaycie Rose Nutrition Llc is a
Dietitian, Registered based in St Anthony, Minnesota. Kaycie Rose Nutrition Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2855 Anthony Ln S Ste 125, St Anthony, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(612) 360-6225.
NPI number for Kaycie Rose Nutrition Llc is 1205300902 and their current mailing address is 391 Grand Ave Apt 302, Saint Paul, Minnesota. Kaycie Rose Nutrition Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1205300902.
Healthcare Provider's Profile
| Full Name | Kaycie Rose Nutrition Llc |
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| Type | Facility |
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| Speciality | Dietitian, Registered |
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| Location | 2855 Anthony Ln S Ste 125, St Anthony, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205300902
- Provider Enumeration Date: 01/15/2019
- Last Update Date: 08/02/2023
Medical Identifiers
Medical identifiers for Kaycie Rose Nutrition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205300902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Kaycie Rose Nutrition Llc 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 |
|---|
Kaycie Rose Nutrition Llc
391 Grand Ave Apt 302,
Saint Paul, MN 55102-2630
Ph: (612) 360-6225 | Kaycie Rose Nutrition Llc
2855 Anthony Ln S Ste 125,
St Anthony, MN 55418-3265
Ph: (612) 360-6225 |
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