| Katelyn Hlucny, | |
|
929 Central Ave Nw, East Grand Forks, MN 56721-1917 | |
| (218) 773-6800 | |
| Not Available |
| Full Name | Katelyn Hlucny |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 929 Central Ave Nw, East Grand Forks, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932866191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Sanford Medical Center Fargo |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Hlucny, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Katelyn Hlucny, 929 Central Ave Nw, East Grand Forks, MN 56721-1917 Ph: (218) 773-6800 |
Jocelyn Rozeveld, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18711 445th Ave Sw, East Grand Forks, MN 56721 Phone: 218-779-9736 | |
Barbara Ann Arntson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 7th St Se, East Grand Forks, MN 56721 Phone: 218-779-9736 | |
Denae D Grove, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-5800 Fax: 218-773-5888 |