| Kyskie Bolton, RD | |
|
272 Calhoun Station Parkway Ste C, #1199, Madison, MS 39110 | |
| (601) 573-6667 | |
| Not Available |
| Full Name | Kyskie Bolton |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 272 Calhoun Station Parkway Ste C, Madison, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396987376 | NPI | - | NPPES |
| 06381069 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D1245 (Mississippi) | Primary |
| Provider Name | G A Carmichael Family Health Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801952809 PECOS PAC ID: 2567371032 Enrollment ID: O20050816001055 |
| Provider Name | H E A L Mississippi |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710659453 PECOS PAC ID: 5496142036 Enrollment ID: O20220428001468 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyskie Bolton, RD 272 Calhoun Station Parkway, Suite C #1199, Madison, MS 39110 Ph: (601) 573-6667 | Kyskie Bolton, RD 272 Calhoun Station Parkway Ste C, #1199, Madison, MS 39110 Ph: (601) 573-6667 |
Mrs. Amy L Mcarthur, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 212 Key Dr, Suite 2, Madison, MS 39110 Phone: 601-856-2303 | |
Mrs. Kathy Ward Warwick, RD/CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 118 Ingleside Rd, Madison, MS 39110 Phone: 601-856-0005 Fax: 601-856-2320 | |
Everyday Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 547 Florence Dr, Madison, MS 39110 Phone: 601-214-9774 | |
Medical Nutrition Group Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 Lake Village Dr, Madison, MS 39110 Phone: 228-493-2877 | |
Madison Healthplex Performance Training Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 501 Baptist Dr, Madison, MS 39110 Phone: 601-856-7757 Fax: 601-944-9780 | |
Mrs. Gina M. Wack, MS,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 127 Spring Oak Dr, Madison, MS 39110 Phone: 601-605-9382 | |
Rebecca Bagwell, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936 |