Mrs Kelly Jean Perez, REGISTERED DIETITIAN is a
Dietitian, Registered based in Ft. Wainwright, Alaska. Mrs Kelly Jean Perez is licensed to practice in North Carolina (license number L003552) and her current practice location is
4076 Neely Rd, Ft. Wainwright, Alaska. She can be reached at her office (for appointments etc.) via phone at
(254) 495-5506.
NPI number for Mrs Kelly Jean Perez is 1053565366 and her current mailing address is 523 Lily Dr Apt 1, Ft Wainwright, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053565366.
Healthcare Provider's Profile
Full Name | Mrs Kelly Jean Perez |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4076 Neely Rd, Ft. Wainwright, Alaska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053565366
- Provider Enumeration Date: 11/13/2008
- Last Update Date: 04/18/2018
Medical Identifiers
Medical identifiers for Mrs Kelly Jean Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053565366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | L003552 (North Carolina) | 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 Kelly Jean Perez 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 Kelly Jean Perez, REGISTERED DIETITIAN 523 Lily Dr Apt 1, Ft Wainwright, AK 99703-1531 Ph: (254) 495-5506 | Mrs Kelly Jean Perez, REGISTERED DIETITIAN 4076 Neely Rd, Ft. Wainwright, AK 99703 Ph: (254) 495-5506 |
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