| Jara King Bauer, RD,LD | |
|
989 Medical Park Dr, Maysville, KY 41056-8750 | |
| (606) 759-3574 | |
| Not Available |
| Full Name | Jara King Bauer |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 989 Medical Park Dr, Maysville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578515292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | KY-1498 (Kentucky) | Primary |
| Provider Name | Meadowview Physician Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760893275 PECOS PAC ID: 9032276274 Enrollment ID: O20090316000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Jara King Bauer, RD,LD 55 Neave Ridge Rd, Brooksville, KY 41004-7612 Ph: (606) 735-9290 | Jara King Bauer, RD,LD 989 Medical Park Dr, Maysville, KY 41056-8750 Ph: (606) 759-3574 |
Mrs. Bridget L Lykins, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 E 2nd St, Maysville, KY 41056 Phone: 606-564-9447 Fax: 606-564-4483 | |
Stacy Leigh Michael, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 927 Kenton Station Dr, Maysville, KY 41056 Phone: 606-759-5331 Fax: 606-759-5363 | |
Ms. Nancy M. Tarr Anderson, RN,RD,LD,CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 Kenton Station Dr, Maysville, KY 41056 Phone: 606-759-0556 |