Kelly Burgess, RD, LD is a
Dietitian, Registered based in Jamestown, Kentucky. Kelly Burgess is licensed to practice in Kentucky (license number 252072) and her current practice location is
1 Sparks Ave, Jamestown, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 343-2101.
NPI number for Kelly Burgess is 1134840564 and her current mailing address is 2370 Cave Mill Station Blvd Apt 922, Bowling Green, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134840564.
Healthcare Provider's Profile
Full Name | Kelly Burgess |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1 Sparks Ave, Jamestown, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134840564
- Provider Enumeration Date: 09/05/2022
- Last Update Date: 09/05/2022
Medical Identifiers
Medical identifiers for Kelly Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134840564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 252072 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Burgess is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Burgess, RD, LD 2370 Cave Mill Station Blvd Apt 922, Bowling Green, KY 42104-6407 Ph: (615) 815-5810 | Kelly Burgess, RD, LD 1 Sparks Ave, Jamestown, KY 42629-2449 Ph: (270) 343-2101 |
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