Kelli Dunham, RD is a
Dietitian, Registered based in Waterford, Wisconsin. Kelli Dunham is licensed to practice in Wisconsin (license number 86056645) and her current practice location is
737 Still Pond Dr, Waterford, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 732-9336.
NPI number for Kelli Dunham is 1629842497 and her current mailing address is 737 Still Pond Dr, Waterford, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629842497.
Healthcare Provider's Profile
| Full Name | Kelli Dunham |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 737 Still Pond Dr, Waterford, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629842497
- Provider Enumeration Date: 11/13/2023
- Last Update Date: 11/13/2023
Medical Identifiers
Medical identifiers for Kelli Dunham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629842497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86056645 (Wisconsin) | 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. Kelli Dunham 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 |
Kelli Dunham, RD 737 Still Pond Dr, Waterford, WI 53185-4282 Ph: (414) 732-9336 | Kelli Dunham, RD 737 Still Pond Dr, Waterford, WI 53185-4282 Ph: (414) 732-9336 |
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