| Lisa A Kennedy, Rd Llc | |
|
4635 Ne Stallings Dr Ste 104, Nacogdoches, TX 75965-1667 | |
| (936) 628-9123 | |
| Not Available |
| Full Name | Lisa A Kennedy, Rd Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4635 Ne Stallings Dr Ste 104, Nacogdoches, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861973091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT07616 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Kennedy, Rd Llc Po Box 538, Etoile, TX 75944-0538 Ph: (936) 628-9123 | Lisa A Kennedy, Rd Llc 4635 Ne Stallings Dr Ste 104, Nacogdoches, TX 75965-1667 Ph: (936) 628-9123 |
Kathy C Conyer, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 651 County Road 811, Nacogdoches, TX 75964 Phone: 936-645-6965 | |
Shelbie C Calk Greenville, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2400 N Stallings Dr, Nacogdoches, TX 75964 Phone: 936-205-1721 Fax: 866-259-8676 | |
Timothy Scallon, MS RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 231 County Road 2322, Nacogdoches, TX 75961 Phone: 936-552-4873 | |
Hannah Dunahoe, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-558-3693 | |
Hollin P Ford, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 712 Hayter Street, Nacogdoches, TX 75962 Phone: 936-671-3946 | |
Darla Daniel O'dwyer, DT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2606 N Pecan St, Nacogdoches, TX 75965 Phone: 936-552-9901 | |
Justin Pelham, MS RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 Fax: 936-568-3365 |