| Kelly Lynn Backen, RD | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Kelly Lynn Backen |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 38 Years |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215901731 | NPI | - | NPPES |
| 742992100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1483 (Minnesota) | Primary |
| Provider Name | Lac Courte Oreilles Governing Board |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194830208 PECOS PAC ID: 7810983517 Enrollment ID: O20040420001318 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lynn Backen, RD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Kelly Lynn Backen, RD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Krista Kerlinske, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Jamie A Breuer, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 210 9th St Se, Rochester, MN 55904 Phone: 507-292-7131 |
Mrs. Tara Marie Schmidt, R.D.N, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Katherine M Brost, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Carol L Willett, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Amanda E Moder, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Meghan Marie Ohman, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |