Kimberly O'brien, RD, LD is a
Dietitian, Registered based in Mendota Heights, Minnesota. Kimberly O'brien is licensed to practice in Minnesota (license number 812818-RD) and her current practice location is
2356 Apache Ct, Mendota Heights, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 405-8712.
NPI number for Kimberly O'brien is 1104996602 and her current mailing address is 2356 Apache Ct, Mendota Heights, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104996602.
Healthcare Provider's Profile
Full Name | Kimberly O'brien |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2356 Apache Ct, Mendota Heights, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104996602
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 06/19/2014
Medical Identifiers
Medical identifiers for Kimberly O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104996602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 812818-RD (Minnesota) | 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. Kimberly O'brien 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 |
Kimberly O'brien, RD, LD 2356 Apache Ct, Mendota Heights, MN 55120-1684 Ph: (651) 405-8712 | Kimberly O'brien, RD, LD 2356 Apache Ct, Mendota Heights, MN 55120-1684 Ph: (651) 405-8712 |
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