Kelly S Berry, RD, LD | |
272 Benedict Avenue, Norwalk, OH 44857 | |
(419) 668-8101 | |
Not Available |
Full Name | Kelly S Berry |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 272 Benedict Avenue, Norwalk, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336668870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LD.3098 (Ohio) | Primary |
Provider Name | Fisher-titus Medical Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467636399 PECOS PAC ID: 6507940566 Enrollment ID: O20080228000695 |
Mailing Address | Practice Location Address |
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Kelly S Berry, RD, LD 272 Benedict Avenue, Norwalk, OH 44857 Ph: () - | Kelly S Berry, RD, LD 272 Benedict Avenue, Norwalk, OH 44857 Ph: (419) 668-8101 |
Jenna L Malott, MS, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Kelli Goodall, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Mrs. Brandi J. Roeder, RN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Avenue, Norwalk, OH 44857 Phone: 419-668-8101 | |
Mrs. Megan K Turner, RD Dietitian Medicare: Medicare Enrolled Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Michelle M Montvilas, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Mrs. Tracy Elayne Stadler, RD, LD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-663-1975 |