Ms Kimberly G Wallander, RD | |
450 Veterans Memorial Pkwy Ste 8c, East Providence, RI 02914-5300 | |
(401) 396-9331 | |
(401) 396-9369 |
Full Name | Ms Kimberly G Wallander |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 11 Years |
Location | 450 Veterans Memorial Pkwy Ste 8c, East Providence, Rhode Island |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891197711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LDN00797 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evolution Nutrition Inc | 2163668518 | 20 |
Provider Name | Evolution Nutrition Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336265800 PECOS PAC ID: 2163668518 Enrollment ID: O20130410000052 |
Mailing Address | Practice Location Address |
---|---|
Ms Kimberly G Wallander, RD 450 Veterans Memorial Pkwy Ste 8c, East Providence, RI 02914-5300 Ph: (401) 396-9331 | Ms Kimberly G Wallander, RD 450 Veterans Memorial Pkwy Ste 8c, East Providence, RI 02914-5300 Ph: (401) 396-9331 |
Mrs. Emily Snow Delconte, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy Ste 8c, East Providence, RI 02914 Phone: 401-396-9331 Fax: 401-396-9369 | |
Sarah Dorothy Mosley, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914 Phone: 401-396-9331 Fax: 401-396-9369 | |
Ms. Colby Thibault, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36 Captain John Jacobs Rd Apt 209, East Providence, RI 02914 Phone: 774-319-1606 | |
Nutrition, Inc. Dietitian Medicare: Medicare Enrolled Practice Location: 525 Taunton Ave, East Providence, RI 02914 Phone: 401-490-0900 Fax: 401-490-0975 | |
Miss Meghan Elizabeth Bourne, RD, LDN, CDOE, CDCES Dietitian Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy Ste 8c, East Providence, RI 02914 Phone: 401-396-9331 Fax: 401-396-9369 | |
Ms. Lisa Ann Cabral, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 318 Waterman Ave, East Providence, RI 02914 Phone: 401-435-5200 | |
Hannah Elizabeth Masse, RD LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy, East Providence, RI 02914 Phone: 401-396-9331 |