Kmm Nutrition Consulting | |
9320 Grand Cordera Pkwy Ste 100 Colorado Springs CO 80924-7004 | |
(719) 344-2780 | |
Not Available |
Full Name | Kmm Nutrition Consulting |
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Speciality | Clinic/Center |
Location | 9320 Grand Cordera Pkwy Ste 100, Colorado Springs, Colorado |
Authorized Official Name and Position | Kirsten Matheson (REGISTERED DIETITIAN NUTRITIONIST) |
Authorized Official Contact | 7199641429 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kmm Nutrition Consulting 6950 Oak Valley Ln Colorado Springs CO 80919-1513 Ph: () - | Kmm Nutrition Consulting 9320 Grand Cordera Pkwy Ste 100 Colorado Springs CO 80924-7004 Ph: (719) 344-2780 |
NPI Number | 1760997274 |
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Provider Enumeration Date | 12/06/2017 |
Last Update Date | 12/06/2017 |
Medicare PECOS PAC ID | 5294094306 |
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Medicare Enrollment ID | O20180118001198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760997274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kirsten M Matheson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1164978532 PECOS PAC ID: 3779864954 Enrollment ID: I20161230000229 |
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