Mrs Kelly Marie Marshall, MS, RD | |
86-260 Farrington Hwy, Waianae, HI 96792-3128 | |
(808) 697-3300 | |
(808) 697-3687 |
Full Name | Mrs Kelly Marie Marshall |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 86-260 Farrington Hwy, Waianae, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295094662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1062291 (* (Not Available)) | Primary |
Provider Name | Pacific Vascular Institute Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275167348 PECOS PAC ID: 2365852381 Enrollment ID: O20201103001713 |
Provider Name | Pacific Vascular Institute-kona |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720697931 PECOS PAC ID: 2769893353 Enrollment ID: O20201203001506 |
Provider Name | Evolve Medical Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366019143 PECOS PAC ID: 8426459447 Enrollment ID: O20210629000868 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Marie Marshall, MS, RD 86-260 Farrington Hwy, Waianae, HI 96792-3128 Ph: (808) 697-3300 | Mrs Kelly Marie Marshall, MS, RD 86-260 Farrington Hwy, Waianae, HI 96792-3128 Ph: (808) 697-3300 |
Erlinda Sanguyo Peralta, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 86-080 Farrington Hwy, Suite 101, Waianae, HI 96792 Phone: 808-696-0216 Fax: 808-696-0345 | |
Rachel C White, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-696-1526 Fax: 808-696-1533 | |
Ms. Alexandra Bouziane, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-697-3300 | |
Sheila Beckham, RD, MPH Dietitian Medicare: Not Enrolled in Medicare Practice Location: 86-260 Farrington Hwy, Waianae, HI 96792 Phone: 808-696-7081 Fax: 808-696-7093 | |
Miss Cynthia Delores King, RDN, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 Phone: 404-387-3884 | |
Emilie Young, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 86-260 Farrington Highway, Wcchc, Waianae, HI 96792 Phone: 808-696-1526 |