Kelly R Mooney, RD | |
115 Cass Ave, Woonsocket, RI 02895-4705 | |
(401) 769-4100 | |
Not Available |
Full Name | Kelly R Mooney |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 115 Cass Ave, Woonsocket, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801150685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LDN00651 (Rhode Island) | Primary |
Provider Name | Prospect Chartercare Sjhsri Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578988572 PECOS PAC ID: 7315179314 Enrollment ID: O20140721001270 |
Provider Name | Prospect Chartercare Rwmc, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672 |
Mailing Address | Practice Location Address |
---|---|
Kelly R Mooney, RD 115 Cass Ave, Woonsocket, RI 02895-4705 Ph: (401) 769-4100 | Kelly R Mooney, RD 115 Cass Ave, Woonsocket, RI 02895-4705 Ph: (401) 769-4100 |
Ms. Nancy Egelhofer, RD, LDN, CDE, CDOE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 Cass Ave, Landmark Medical Center, Woonsocket, RI 02895 Phone: 401-769-4100 Fax: 401-767-1663 | |
Mrs. Cherie Soderbom, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 Cass Ave, Woonsocket, RI 02895 Phone: 401-769-4100 | |
Mrs. Suzanne Leigh Macdonald, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 Cass Ave, Landmark Medical Center - Nutrition Services, Woonsocket, RI 02895 Phone: 401-769-4100 |