Kelley Wissinger, RD | |
9404 Mill Hollow Dr, Dallas, TX 75243-6338 | |
(972) 921-4669 | |
Not Available |
Full Name | Kelley Wissinger |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 14 Years |
Location | 9404 Mill Hollow Dr, Dallas, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588974810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 01024659 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Health Assessments, Llc | 3870755564 | 11 |
Provider Name | American Health Assessments, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497027098 PECOS PAC ID: 3870755564 Enrollment ID: O20120425000323 |
Mailing Address | Practice Location Address |
---|---|
Kelley Wissinger, RD 9404 Mill Hollow Dr, Dallas, TX 75243-6338 Ph: (972) 921-4669 | Kelley Wissinger, RD 9404 Mill Hollow Dr, Dallas, TX 75243-6338 Ph: (972) 921-4669 |
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