Mrs Kendall Rose Mcleod, RD | |
17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | |
(248) 712-4120 | |
Not Available |
Full Name | Mrs Kendall Rose Mcleod |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 17400 W 13 Mile Rd, Beverly Hills, Michigan |
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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1730433178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 01086433 (Michigan) | Primary |
Provider Name | Beaumont Medical Group- Specialty Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Mrs Kendall Rose Mcleod, RD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1863 | Mrs Kendall Rose Mcleod, RD 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 Ph: (248) 712-4120 |
Claire Hayes, RD Dietitian Medicare: Medicare Enrolled Practice Location: 17400 W 13 Mile Rd, Beverly Hills, MI 48025 Phone: 248-712-4120 | |
Christa Byrd, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 31445 Sunset Dr, Beverly Hills, MI 48025 Phone: 248-592-7525 | |
Mrs. Bethany A Matus, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17400 W 13 Mile Rd, Beverly Hills, MI 48025 Phone: 248-712-4584 | |
Alissa J Brecht, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18289 Devonshire St, Beverly Hills, MI 48025 Phone: 248-660-4485 | |
Stacey Wiesenthal, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18249 Saxon Dr, Beverly Hills, MI 48025 Phone: 248-943-3260 | |
Bailey Rice, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17400 W 13 Mile Rd, Beverly Hills, MI 48025 Phone: 248-712-4120 |