| Ms Kelli Jo Jensch, RD, LD | |
|
1900 Centracare Cir, Saint Cloud, MN 56303-5000 | |
| (320) 229-4916 | |
| Not Available |
| Full Name | Ms Kelli Jo Jensch |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1900 Centracare Cir, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134611049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4010 (Minnesota) | Primary |
| 133V00000X | Dietitian, Registered | 86024081 (Minnesota) | Secondary |
| Provider Name | Centracare Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Provider Name | St Cloud Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelli Jo Jensch, RD, LD 1900 Centracare Cir, Saint Cloud, MN 56303-5000 Ph: (320) 229-4916 | Ms Kelli Jo Jensch, RD, LD 1900 Centracare Cir, Saint Cloud, MN 56303-5000 Ph: (320) 229-4916 |
Heidi Grace Braun, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Kimberly Marie Dodds-thompson, RDN, LD, CDCES Dietitian Medicare: May Accept Medicare Assignments Practice Location: 3290 42nd Ave S, Saint Cloud, MN 56301 Phone: 320-227-5000 | |
Haleigh Storkel, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-3342 Fax: 320-252-3501 | |
Hannah Warzecha, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-255-5897 | |
Mr. Brian Michael Vetter, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-255-6376 | |
Mrs. Gina Rachel Oleen, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-202-2306 |