| Kathleen E Moran, RD | |
|
1501 E 3rd St, Delta, CO 81416-2815 | |
| (970) 874-6410 | |
| (970) 399-2868 |
| Full Name | Kathleen E Moran |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1501 E 3rd St, Delta, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750777215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86062995 (Colorado) | Primary |
| Provider Name | Delta County Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen E Moran, RD Po Box 10100, Delta, CO 81416-0008 Ph: (970) 874-2470 | Kathleen E Moran, RD 1501 E 3rd St, Delta, CO 81416-2815 Ph: (970) 874-6410 |
Jilleisa Jezak, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-6410 | |
Mary B Grosvenor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Amy D Engel, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 | |
Mrs. Janice Lynn Mabry, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1501 E 3rd St # Na, Delta, CO 81416 Phone: 970-874-7681 | |
Jayme Leigh Thomas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 E 3rd St, Delta, CO 81416 Phone: 970-874-7681 Fax: 970-399-2868 |