Kelly Lynn Tetrault-stellato, RD is a
Dietitian, Registered based in Granby, Massachusetts. Kelly Lynn Tetrault-stellato is licensed to practice in Massachusetts (license number 2451) and her current practice location is
64 Aldrich St, Granby, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 530-5819.
NPI number for Kelly Lynn Tetrault-stellato is 1770747255 and her current mailing address is 64 Aldrich St, Granby, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770747255.
Healthcare Provider's Profile
Full Name | Kelly Lynn Tetrault-stellato |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 64 Aldrich St, Granby, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770747255
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 11/01/2011
Medical Identifiers
Medical identifiers for Kelly Lynn Tetrault-stellato such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770747255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2451 (Massachusetts) | 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 Lynn Tetrault-stellato 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 Lynn Tetrault-stellato, RD 64 Aldrich St, Granby, MA 01033-9718 Ph: (413) 530-5819 | Kelly Lynn Tetrault-stellato, RD 64 Aldrich St, Granby, MA 01033-9718 Ph: (413) 530-5819 |
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