Kelleigh Garland O'toole, RD | |
1802 Braeburn Dr, Salem, VA 24153-7357 | |
(540) 772-3620 | |
Not Available |
Full Name | Kelleigh Garland O'toole |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1802 Braeburn Dr, Salem, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659940856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86119227 (Virginia) | Primary |
Provider Name | Lewis Gale Physicians Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
Mailing Address | Practice Location Address |
---|---|
Kelleigh Garland O'toole, RD 2515 Richelieu Ave Sw, Roanoke, VA 24014-3323 Ph: () - | Kelleigh Garland O'toole, RD 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3620 |
Ms. Kristy Leigh Suhr, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Tamara Derrise Morton, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1970 Boulevard, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1059 | |
Mrs. Bonnie Louise Harbourt, MA,RD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1958 | |
Ms. Diane Elaine Black, MS,RD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2157 Apperson Dr, Salem, VA 24153 Phone: 540-777-0000 | |
Mrs. Jennifer Witt Helms, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Benjamin Peter Schrepfer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 434-242-9267 | |
June Maxine Powell, M.S., R.D., C.N.S.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1118 Tamarack Ln, Salem, VA 24153 Phone: 540-387-1776 |