Kimberly Procaccino, RD, LDN, MBA is a
Dietitian, Registered based in Macungie, Pennsylvania. Kimberly Procaccino is licensed to practice in Pennsylvania (license number DN000666) and her current practice location is
2642 Fieldview Dr, Macungie, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(610) 573-0417.
NPI number for Kimberly Procaccino is 1164884011 and her current mailing address is 2642 Fieldview Dr, Macungie, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164884011.
Healthcare Provider's Profile
Full Name | Kimberly Procaccino |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2642 Fieldview Dr, Macungie, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164884011
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 02/29/2024
Medical Identifiers
Medical identifiers for Kimberly Procaccino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164884011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN000666 (Pennsylvania) | 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. Kimberly Procaccino 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 |
Kimberly Procaccino, RD, LDN, MBA 2642 Fieldview Dr, Macungie, PA 18062-8416 Ph: (610) 573-0417 | Kimberly Procaccino, RD, LDN, MBA 2642 Fieldview Dr, Macungie, PA 18062-8416 Ph: (610) 573-0417 |
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