Kylie Grenier, | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(774) 443-7011 | |
Not Available |
Full Name | Kylie Grenier |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 55 Lake Ave N, Worcester, Massachusetts |
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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1124680723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 957939 (Massachusetts) | Primary |
Provider Name | Umass Memorial Medical Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689760092 PECOS PAC ID: 6204745904 Enrollment ID: O20031126000444 |
Mailing Address | Practice Location Address |
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Kylie Grenier, 55 Lake Ave N, Worcester, MA 01655-0002 Ph: () - | Kylie Grenier, 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 443-7011 |
Ms. Ashley Jermaine Wight, RD Dietitian Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-3411 | |
Lindsey M. Gesualdi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 630 Plantation St, Worcester, MA 01605 Phone: 508-852-6175 Fax: 508-595-2941 | |
Mackenzie Souza, MS, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-3435 | |
Abigail Boatemaa, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Queen St, Worcester, MA 01610 Phone: 978-868-7964 | |
Colleen Daly, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 60 Wrentham Rd, Worcester, MA 01602 Phone: 508-404-8103 | |
Jennifer Parker, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-1000 | |
Kasandra P Reid, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 44 Portland St Fl 1, Worcester, MA 01608 Phone: 617-249-3253 |