Kelly Barnes, | |
11705 Loisdale Way, Rancho Cordova, CA 95742-8028 | |
(916) 208-0552 | |
Not Available |
Full Name | Kelly Barnes |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 11705 Loisdale Way, Rancho Cordova, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578185674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 931140 (California) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Kelly Barnes, 11705 Loisdale Way, Rancho Cordova, CA 95742-8028 Ph: (916) 208-0552 | Kelly Barnes, 11705 Loisdale Way, Rancho Cordova, CA 95742-8028 Ph: (916) 208-0552 |
Michele Lites, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10725 International Dr, Rancho Cordova, CA 95670 Phone: 916-631-2730 | |
Mr. Christopher Michael Husing, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10665 Coloma Rd, Suite 400, Rancho Cordova, CA 95670 Phone: 916-638-4735 Fax: 916-638-4686 | |
Melissa Yuen-ting Dupuis, MS, RD, CSR Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3071 Gold Canal Dr, Rancho Cordova, CA 95670 Phone: 916-638-8429 | |
Sarah Marie Olson, MDA, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10831 Arrington Dr, Rancho Cordova, CA 95670 Phone: 760-981-2627 |