Kelly Herbert, RDN is a
Dietitian, Registered based in Stoughton, Wisconsin. Kelly Herbert is licensed to practice in Wisconsin (license number 3293-29) and her current practice location is
408 Pine St, Stoughton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 938-5653.
NPI number for Kelly Herbert is 1730893249 and her current mailing address is 408 Pine St, Stoughton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730893249.
Healthcare Provider's Profile
Full Name | Kelly Herbert |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 408 Pine St, Stoughton, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730893249
- Provider Enumeration Date: 01/09/2023
- Last Update Date: 01/09/2023
Medical Identifiers
Medical identifiers for Kelly Herbert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730893249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 3293-29 (Wisconsin) | 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 Herbert 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 Herbert, RDN 408 Pine St, Stoughton, WI 53589-2347 Ph: (715) 938-5653 | Kelly Herbert, RDN 408 Pine St, Stoughton, WI 53589-2347 Ph: (715) 938-5653 |
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