Kristine M Foley, RD LMNT LD | |
2602 J St, Omaha, NE 68107-1643 | |
(402) 650-0823 | |
Not Available |
Full Name | Kristine M Foley |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2602 J St, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427774678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1070 (Nebraska) | Primary |
Provider Name | Ponca Tribe Of Nebraska |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710172879 PECOS PAC ID: 0648169177 Enrollment ID: O20190311001784 |
Mailing Address | Practice Location Address |
---|---|
Kristine M Foley, RD LMNT LD 11231 Cove Hollow Dr, Papillion, NE 68046-5698 Ph: (402) 650-0823 | Kristine M Foley, RD LMNT LD 2602 J St, Omaha, NE 68107-1643 Ph: (402) 650-0823 |
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