| Kelly Mckinnon, | |
|
3310 Lakeview Trl, Canal Winchester, OH 43110-8030 | |
| (419) 350-8401 | |
| Not Available |
| Full Name | Kelly Mckinnon |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 8 Years |
| Location | 3310 Lakeview Trl, Canal Winchester, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619722600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nourish, Inc. | 1557724937 | 288 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Mckinnon, 3310 Lakeview Trl, Canal Winchester, OH 43110-8030 Ph: (419) 350-8401 | Kelly Mckinnon, 3310 Lakeview Trl, Canal Winchester, OH 43110-8030 Ph: (419) 350-8401 |
Mrs. Nadine Jane Jones, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5846 Canal Bridge Dr, Canal Winchester, OH 43110 Phone: 989-390-3463 |
Karen Keener, MA, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 7901 Diley Rd Ste 200, Canal Winchester, OH 43110 Phone: 614-835-3838 |
Lyanna Eva Seesholtz, LD,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5688 Winchester Pike, Canal Winchester, OH 43110 Phone: 614-373-0549 |