| Miss Kelly Davis, RD | |
|
8544 Villa La Jolla Dr Apt 203, La Jolla, CA 92037-8314 | |
| (760) 960-9456 | |
| Not Available |
| Full Name | Miss Kelly Davis |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 8544 Villa La Jolla Dr Apt 203, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659098952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86301451 (California) | Primary |
| Provider Name | Southcoast Hospitals Group,inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306871223 PECOS PAC ID: 1850282310 Enrollment ID: O20041214000621 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kelly Davis, RD 8544 Villa La Jolla Dr Apt 203, La Jolla, CA 92037-8314 Ph: (508) 564-8356 | Miss Kelly Davis, RD 8544 Villa La Jolla Dr Apt 203, La Jolla, CA 92037-8314 Ph: (760) 960-9456 |
Nicole Pimentel Palomino, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 800-926-8273 | |
Sabrina Bierman, MS, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-249-6142 | |
Jeanne Reilly, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Suite 730, La Jolla, CA 92037 Phone: 858-847-5064 | |
Claire Anspach, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave Ste 320, La Jolla, CA 92037 Phone: 858-554-1212 | |
Amalia A Myer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6012 Waverly Ave, La Jolla, CA 92037 Phone: 858-822-8232 | |
Mrs. Lisa Marie Schreiber, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9888 Genesee Ave, La Jolla, CA 92037 Phone: 858-626-5066 | |
Ashley Victoria Jensen, RD, CEDRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6238 Dowling Dr, La Jolla, CA 92037 Phone: 619-366-2236 |