| Kim Riley Nutrition Llc | |
|
312 E Venice Ave Ste 208, Venice, FL 34285-4621 | |
| (941) 800-5565 | |
| (941) 275-6340 |
| Full Name | Kim Riley Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 312 E Venice Ave Ste 208, Venice, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538721121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Kimberly S Riley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033153788 PECOS PAC ID: 7810176146 Enrollment ID: I20110119000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Riley Nutrition Llc 6146 100th Ave E, Parrish, FL 34219-4557 Ph: (551) 265-8405 | Kim Riley Nutrition Llc 312 E Venice Ave Ste 208, Venice, FL 34285-4621 Ph: (941) 800-5565 |
Julie Smith, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1370 E Venice Ave, Ste 205, Venice, FL 34285 Phone: 941-800-4700 Fax: 941-800-4711 | |
Mrs. Dianne Cogburn, RD, LDN, MPH Dietitian Medicare: Not Enrolled in Medicare Practice Location: 721 Cadiz Rd, Venice, FL 34285 Phone: 941-223-1422 | |
Mrs. Carolyn Caswell Harrington, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 217 Rio Terra, Venice, FL 34285 Phone: 941-882-3071 Fax: 941-882-3071 | |
Tiffany Davis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1370 E Venice Ave, Ste 205, Venice, FL 34285 Phone: 941-800-4700 Fax: 941-800-4711 | |
Josie Elizabeth Phifer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 604 Valencia Rd, Venice, FL 34285 Phone: 941-685-0502 | |
Gulf Coast Hma Physician Management Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1370 E Venice Ave, Ste 205, Venice, FL 34285 Phone: 941-800-4700 Fax: 941-800-4711 |