Mrs Karelisa Elaine King, RD, CD | |
2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | |
(360) 738-2200 | |
Not Available |
Full Name | Mrs Karelisa Elaine King |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2000 Hospital Dr, Sedro Woolley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548983091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI60196712 (Washington) | Primary |
Provider Name | Peacehealth |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20031118001062 |
Provider Name | Peacehealth Medical Group - Sedro Woolley |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407283179 PECOS PAC ID: 1456584036 Enrollment ID: O20140506001293 |
Mailing Address | Practice Location Address |
---|---|
Mrs Karelisa Elaine King, RD, CD 2007 Samish Crest Way, Bellingham, WA 98229-4909 Ph: (760) 791-6032 | Mrs Karelisa Elaine King, RD, CD 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 Ph: (360) 738-2200 |
Mary S Clark, R.D, C.D.E Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Hospital Dr, Sedro Woolley, WA 98284 Phone: 360-856-6021 Fax: 360-856-7300 | |
Mrs. Margaret E Griswold, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Hospital Dr, Sedro Woolley, WA 98284 Phone: 360-856-6021 | |
Ms. Mary Jeanne Mcmillan-olson, R.D., C.D.E Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Hospital Dr, Sedro Woolley, WA 98284 Phone: 360-856-7339 | |
Lori L Tiessen, R.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Hospital Dr, Sedro Woolley, WA 98284 Phone: 360-856-6021 Fax: 360-856-7300 | |
Danica Michelle Hardwick, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Hospital Dr, Sedro Woolley, WA 98284 Phone: 360-856-6021 | |
Ms. Barbara L Sutton, MOE, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Hospital Dr, Sedro Woolley, WA 98284 Phone: 360-856-7293 |