Kelli Jo Davison, RDN, LDN is a
Dietitian, Registered based in Farmdale, Ohio. Kelli Jo Davison is licensed to practice in Ohio (license number 5480) and her current practice location is
4839 Fisher Corinth Rd, Farmdale, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 240-5240.
NPI number for Kelli Jo Davison is 1669188892 and her current mailing address is Po Box 302, Cortland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669188892.
Healthcare Provider's Profile
| Full Name | Kelli Jo Davison |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 4839 Fisher Corinth Rd, Farmdale, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669188892
- Provider Enumeration Date: 01/31/2023
- Last Update Date: 01/31/2023
Medical Identifiers
Medical identifiers for Kelli Jo Davison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669188892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 5480 (Ohio) | 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 Jo Davison 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 Jo Davison, RDN, LDN
Po Box 302,
Cortland, OH 44410-0302
Ph: () - | Kelli Jo Davison, RDN, LDN
4839 Fisher Corinth Rd,
Farmdale, OH 44417-9601
Ph: (330) 240-5240 |
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