Kelly Marie Dieffenbaugher, RD is a
Dietitian, Registered based in Corning, New York. Kelly Marie Dieffenbaugher is licensed to practice in New York (license number 86086792) and her current practice location is
1 Guthrie Dr, Corning, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 937-7200.
NPI number for Kelly Marie Dieffenbaugher is 1750041141 and her current mailing address is 1 Guthrie Dr, Corning, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750041141.
Healthcare Provider's Profile
Full Name | Kelly Marie Dieffenbaugher |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1 Guthrie Dr, Corning, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750041141
- Provider Enumeration Date: 12/27/2021
- Last Update Date: 12/27/2021
Medical Identifiers
Medical identifiers for Kelly Marie Dieffenbaugher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750041141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86086792 (New York) | 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 Marie Dieffenbaugher 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 Marie Dieffenbaugher, RD 1 Guthrie Dr, Corning, NY 14830-3696 Ph: (607) 937-7200 | Kelly Marie Dieffenbaugher, RD 1 Guthrie Dr, Corning, NY 14830-3696 Ph: (607) 937-7200 |
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