Kelli Robertson, | |
3700 Washington Ave, Evansville, IN 47714-0541 | |
(812) 485-4098 | |
Not Available |
Full Name | Kelli Robertson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3700 Washington Ave, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003417064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 37002149A (Indiana) | Primary |
Provider Name | St Vincent Pediatric Subspecialties |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
Provider Name | St Marys Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
Mailing Address | Practice Location Address |
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Kelli Robertson, 7504 Midway Dr, Evansville, IN 47711-6300 Ph: (812) 631-2784 | Kelli Robertson, 3700 Washington Ave, Evansville, IN 47714-0541 Ph: (812) 485-4098 |
Amy Marshall, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3493 | |
Breann M Ellis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9831 Fax: 812-426-9778 | |
Helen Schnarr, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3900 Washington Ave Ste 100, Evansville, IN 47714 Phone: 812-485-6694 | |
Connie Stachowski, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Joslin Diabetes Center At St Mary's, 3700 Washington Avenue, Evansville, IN 47750 Phone: 812-485-1814 | |
Chelsey Linette Kuper, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 Saint Marys Dr, Suite 205w, Evansville, IN 47714 Phone: 812-469-3283 Fax: 812-469-3285 | |
Linda Humphrey, MS, RD, CD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 St Mary S Dr, Evansville, IN 47750 Phone: 812-485-1814 Fax: 812-485-1804 |