Michele Keethler, RD LD | |
1842 N Columbine, Andover, KS 67002-8113 | |
(316) 210-0791 | |
Not Available |
Full Name | Michele Keethler |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1842 N Columbine, Andover, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538776422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1037377 (Kansas) | Primary |
Provider Name | Wichita Primary Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164908281 PECOS PAC ID: 7911243316 Enrollment ID: O20190104002967 |
Provider Name | Flexible Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871115303 PECOS PAC ID: 8123440740 Enrollment ID: O20200626000908 |
Mailing Address | Practice Location Address |
---|---|
Michele Keethler, RD LD 1842 N Columbine, Andover, KS 67002-8113 Ph: (316) 210-0791 | Michele Keethler, RD LD 1842 N Columbine, Andover, KS 67002-8113 Ph: (316) 210-0791 |
Shana Cables, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1426 E Timber Falls Ct, Andover, KS 67002 Phone: 636-248-9128 | |
Madison Osburn, RDN, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 147 Elm Ct, Andover, KS 67002 Phone: 316-361-6080 Fax: 316-844-1647 | |
Morgan L Hook, MS RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2005 E Teak Ct, Andover, KS 67002 Phone: 817-205-3049 |