| Kelly S Berry, RD, LD | |
|
272 Benedict Avenue, Norwalk, OH 44857 | |
| (419) 668-8101 | |
| Not Available |
| Full Name | Kelly S Berry |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 272 Benedict Avenue, Norwalk, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336668870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD.3098 (Ohio) | Primary |
| Provider Name | Fisher-titus Medical Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467636399 PECOS PAC ID: 6507940566 Enrollment ID: O20080228000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly S Berry, RD, LD 272 Benedict Avenue, Norwalk, OH 44857 Ph: () - | Kelly S Berry, RD, LD 272 Benedict Avenue, Norwalk, OH 44857 Ph: (419) 668-8101 |
Jenna L Malott, MS, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Katelyn Wammes, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-6307 | |
Kelli Goodall, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Mrs. Brandi J. Roeder, RN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Avenue, Norwalk, OH 44857 Phone: 419-668-8101 | |
Mrs. Megan K Turner, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 | |
Michelle M Montvilas, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 272 Benedict Ave, Norwalk, OH 44857 Phone: 419-668-8101 |