| Kelly Golladay, RD | |
|
39475 Lewis Dr Ste 110, Novi, MI 48377-2977 | |
| (989) 277-5784 | |
| Not Available |
| Full Name | Kelly Golladay |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 39475 Lewis Dr Ste 110, Novi, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043783483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86038838 (* (Not Available)) | Primary |
| Provider Name | Envision Medical Group Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578891750 PECOS PAC ID: 0840315867 Enrollment ID: O20101006000393 |
| Provider Name | Vmd Primary Providers Eastern Michigan Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336625540 PECOS PAC ID: 9234480575 Enrollment ID: O20180925002900 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Golladay, RD 39475 Lewis Dr Ste 110, Novi, MI 48377-2977 Ph: () - | Kelly Golladay, RD 39475 Lewis Dr Ste 110, Novi, MI 48377-2977 Ph: (989) 277-5784 |
Mary Farrell Gutmann, R.D., M.B.A. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24230 Karim Boulevard, Suite 130, Novi, MI 48375 Phone: 248-919-1100 Fax: 248-919-1109 | |
Marie Nalezyty, MS, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-880-3245 | |
Dominic Zabell, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30880 Beck Rd, Novi, MI 48377 Phone: 760-518-8874 | |
Ms. Denise Cykiert, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 39830 Grand River Ave, B3, Novi, MI 48375 Phone: 248-477-6100 | |
Deanna Denny, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 23455 Haggerty Rd, Novi, MI 48375 Phone: 248-962-5201 | |
Mrs. Meredith Ann Simcox, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 51014 Almafi Ct, Novi, MI 48374 Phone: 248-390-6678 |