| Kidney Nutrition Care Center Llc | |
|
101 Wilkesboro St Ste A, Mocksville, NC 27028-2321 | |
| (336) 936-8169 | |
| (844) 440-1999 |
| Full Name | Kidney Nutrition Care Center Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 101 Wilkesboro St Ste A, Mocksville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851017123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Kathy Jones Crotts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902042633 PECOS PAC ID: 1153790803 Enrollment ID: I20221229000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Nutrition Care Center Llc 125 Tom Crotts Ln, Mocksville, NC 27028-5444 Ph: (336) 817-8991 | Kidney Nutrition Care Center Llc 101 Wilkesboro St Ste A, Mocksville, NC 27028-2321 Ph: (336) 936-8169 |
Ms. Cathy Manson, MED, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 277 Meroney St, Mocksville, NC 27028 Phone: 336-753-6178 Fax: 336-751-0335 | |
Mandi Irwin, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 210 Hospital St, Mocksville, NC 27028 Phone: 336-753-6750 Fax: 336-751-0335 | |
Mrs. Kathy Jones Crotts, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 125 Tom Crotts Ln, Mocksville, NC 27028 Phone: 336-998-7364 |