Nicole Kumke, RDN | |
761 45th St Ste 110, Munster, IN 46321-2899 | |
(219) 922-3020 | |
(219) 922-3023 |
Full Name | Nicole Kumke |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 761 45th St Ste 110, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871720615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 37003576A (Indiana) | Primary |
133V00000X | Dietitian, Registered | 164.004214 (Illinois) | Secondary |
Provider Name | Franciscan Physician Network |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Nicole Kumke, RDN Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Nicole Kumke, RDN 761 45th St Ste 110, Munster, IN 46321-2899 Ph: (219) 922-3020 |
Mrs. Linda Beth Welch, M.S.,R.D.,C.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9806 Redbud Rd, Munster, IN 46321 Phone: 219-836-8443 | |
Heidi A King, RD Dietitian Medicare: Medicare Enrolled Practice Location: 761 45th Street, Suite 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023 | |
Deborah Cherrier, REGISTERED DIETITIAN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 761 45th St Ste 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023 | |
Miss Allison Shaw, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-6797 Fax: 219-513-1124 | |
Lucille Wilczynski Cole, LICENSED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 761 45th Ave, Ste. 110, Munster, IN 46321 Phone: 219-922-3020 Fax: 219-922-3023 | |
Ms. Joann Elizabeth Franczek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-836-8073 | |
Hilary Benway, PA Dietitian Medicare: Medicare Enrolled Practice Location: 701 Superior Ave Ste 2500, Munster, IN 46321 Phone: 219-922-4081 Fax: 219-922-5880 |