Mrs Wendy Marie Killian, RD LD is a
Dietitian, Registered based in Rexburg, Idaho. Mrs Wendy Marie Killian is licensed to practice in Idaho (license number D-612) and her current practice location is
393 E 2nd N, Rexburg, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 356-5401.
NPI number for Mrs Wendy Marie Killian is 1265773337 and her current mailing address is 393 E 2nd N, Rexburg, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265773337.
Healthcare Provider's Profile
| Full Name | Mrs Wendy Marie Killian |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 393 E 2nd N, Rexburg, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265773337
- Provider Enumeration Date: 03/14/2013
- Last Update Date: 03/14/2013
Medical Identifiers
Medical identifiers for Mrs Wendy Marie Killian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265773337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | D-612 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Wendy Marie Killian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Wendy Marie Killian, RD LD
393 E 2nd N,
Rexburg, ID 83440-1605
Ph: (208) 356-5401 | Mrs Wendy Marie Killian, RD LD
393 E 2nd N,
Rexburg, ID 83440-1605
Ph: (208) 356-5401 |
Reviews and Comments