Kylie Lebel, RDN, LDN | |
320 W Broadway Apt 5, Boston, MA 02127-1962 | |
(330) 861-4480 | |
Not Available |
Full Name | Kylie Lebel |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 320 W Broadway Apt 5, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235763103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86057606 (New Jersey) | 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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Kylie Lebel, RDN, LDN 320 W Broadway Apt 5, Boston, MA 02127-1962 Ph: (330) 861-4480 | Kylie Lebel, RDN, LDN 320 W Broadway Apt 5, Boston, MA 02127-1962 Ph: (330) 861-4480 |
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Kara Lydon, RD, LDN, RYT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 Newbury St, Third Floor, Boston, MA 02116 Phone: 716-200-3236 | |
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Liana Sans, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
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