Kelly Ann Demers, RD | |
621 W Lake St Ste 350, Minneapolis, MN 55408-2952 | |
(612) 979-2276 | |
Not Available |
Full Name | Kelly Ann Demers |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 621 W Lake St Ste 350, Minneapolis, Minnesota |
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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1992273346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 4433 (Minnesota) | Secondary |
133V00000X | Dietitian, Registered | D-10195067 (Oregon) | Primary |
Provider Name | Emily Program Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014 |
Mailing Address | Practice Location Address |
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Kelly Ann Demers, RD 2939 Ingalls Way, Eugene, OR 97405-6307 Ph: () - | Kelly Ann Demers, RD 621 W Lake St Ste 350, Minneapolis, MN 55408-2952 Ph: (612) 979-2276 |
Kelly Scheller Williams, Dietitian Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-3216 | |
Sarah E Johnson, RD LD Dietitian Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Christina Manian, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Harvard St Se, Minneapolis, MN 55455 Phone: 612-273-5188 | |
Laura C H Hanson, MS, RD, LN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3693 Fax: 612-904-4326 | |
Mr. Adam Joseph Kuchnia, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-0069 | |
Aimee M Tritt, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Timothy Baebenroth, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-2004 |