| Kll Nutrition, Llc | |
|
2727 Reeds Lake Blvd Se, Grand Rapids, MI 49506-2053 | |
| (616) 443-7775 | |
| Not Available |
| Full Name | Kll Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2727 Reeds Lake Blvd Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154038594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Kristen L Lorenz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124784525 PECOS PAC ID: 7517335607 Enrollment ID: I20221121002716 |
| Provider Name | Sejal G Dave |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144259466 PECOS PAC ID: 2769842764 Enrollment ID: I20230724000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Kll Nutrition, Llc 2727 Reeds Lake Blvd Se, Grand Rapids, MI 49506-2053 Ph: (616) 443-7775 | Kll Nutrition, Llc 2727 Reeds Lake Blvd Se, Grand Rapids, MI 49506-2053 Ph: (616) 443-7775 |
Janet Dominowski, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-267-8950 Fax: 616-267-8585 | |
Erika S Geile, DIETICIAN, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-752-6235 Fax: 616-752-6324 | |
Megan Nicole Hannon, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 Phone: 616-486-9830 | |
Rose Britt, RDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8156 | |
Krista M Gast, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 435 Ionia Ave Sw Ste A210, Grand Rapids, MI 49503 Phone: 616-486-0385 | |
Amy Robinson-defouw, MA, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Kristen Marie Swendrowski, RD, PA-C Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828 |