Mr Matthew Harmon, RD, CSSD, CSCS | |
2050a 2nd St Se, Kirtland Afb, NM 87117-0001 | |
(505) 846-3200 | |
Not Available |
Full Name | Mr Matthew Harmon |
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Gender | Male |
Speciality | Dietitian, Registered - Nutrition, Sports Dietetics |
Location | 2050a 2nd St Se, Kirtland Afb, New Mexico |
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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1437769650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | 86098402 (* (Not Available)) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Mr Matthew Harmon, RD, CSSD, CSCS 715 County Road 152, Abilene, TX 79601-7901 Ph: (737) 529-0187 | Mr Matthew Harmon, RD, CSSD, CSCS 2050a 2nd St Se, Kirtland Afb, NM 87117-0001 Ph: (505) 846-3200 |
Morgan L Saucedo, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2050 A Second St Se, Kirtland Afb, NM 87117 Phone: 505-846-1186 | |
Mandy Kenyon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2050 A Second St Se, Kirtland Afb, NM 87117 Phone: 760-450-3107 | |
Julia Zalewski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 |