Michelle Kudrna, RD | |
765 W Interstate Ave, Bismarck, ND 58503-0936 | |
(701) 323-5437 | |
Not Available |
Full Name | Michelle Kudrna |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 765 W Interstate Ave, Bismarck, North Dakota |
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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1275298366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1191 (North Dakota) | Primary |
Provider Name | Sanford Bismarck |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
Mailing Address | Practice Location Address |
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Michelle Kudrna, RD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Michelle Kudrna, RD 765 W Interstate Ave, Bismarck, ND 58503-0936 Ph: (701) 323-5437 |
Paige Scherer, RDN, LRD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 900 E Broadway Ave, Bismarck, ND 58501 Phone: 701-530-7877 Fax: 701-530-7890 | |
Nicole A Enzminger, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Ms. Amanda K Ihmels, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5709 | |
Mikaela Hirst, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Sierra Kolle, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Shelley Porter, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 E Broadway Avenue, Bismarck, ND 58501 Phone: 701-530-7000 Fax: 701-530-8842 |