Kelly Elizabeth Fontes, RDN is a
Dietitian, Registered based in White Lake, Michigan. Kelly Elizabeth Fontes is licensed to practice in * (Not Available) (license number ) and her current practice location is
8115 Bennington Blvd, White Lake, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 992-6465.
NPI number for Kelly Elizabeth Fontes is 1386200855 and her current mailing address is 8115 Bennington Blvd, White Lake, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386200855.
Healthcare Provider's Profile
Full Name | Kelly Elizabeth Fontes |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 8115 Bennington Blvd, White Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386200855
- Provider Enumeration Date: 05/10/2019
- Last Update Date: 05/10/2019
Medical Identifiers
Medical identifiers for Kelly Elizabeth Fontes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386200855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | 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 Elizabeth Fontes 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 Elizabeth Fontes, RDN 8115 Bennington Blvd, White Lake, MI 48386-3564 Ph: (989) 992-6465 | Kelly Elizabeth Fontes, RDN 8115 Bennington Blvd, White Lake, MI 48386-3564 Ph: (989) 992-6465 |
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