Kimberly Oswalt, | |
4359 E Enon Rd, Yellow Springs, OH 45387-9708 | |
(937) 206-1131 | |
Not Available |
Full Name | Kimberly Oswalt |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4359 E Enon Rd, Yellow Springs, 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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1467032755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Kimberly Oswalt, 4158 S Tecumseh Rd, Springfield, OH 45502-9718 Ph: (937) 231-5518 | Kimberly Oswalt, 4359 E Enon Rd, Yellow Springs, OH 45387-9708 Ph: (937) 206-1131 |
Madelyn Trefzger, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 | |
Emma Austing, RDN, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 | |
Brianna Durnin Hanson, Dietitian Medicare: Medicare Enrolled Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-717-8751 | |
Mrs. Leslie Clem Edmunds, MPH, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 Fax: 937-917-8048 | |
Taylor Alexandra Beach, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 Fax: 937-917-8048 | |
Cynthianna Mastropietro, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 | |
Kathryn Ingrid Poppe, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4359 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-206-1131 |