| Kristine Miklos, | |
|
529 Main St Ofc 334, Charlestown, MA 02129-1125 | |
| (617) 999-3896 | |
| (877) 743-5351 |
| Full Name | Kristine Miklos |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 529 Main St Ofc 334, Charlestown, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528627528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4694 (Massachusetts) | Primary |
| Provider Name | Nutrition In Motion |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20201104000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Miklos, 165 Cambridge St Ste 402, Boston, MA 02114-2750 Ph: (617) 726-2779 | Kristine Miklos, 529 Main St Ofc 334, Charlestown, MA 02129-1125 Ph: (617) 999-3896 |
Mrs. Michelle Mccool, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 38 Belmont St, #1, Charlestown, MA 02129 Phone: 978-314-2628 | |
Alexandra Beall Harvey, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 43 Chestnut St, Charlestown, MA 02129 Phone: 617-444-9976 | |
Rosanne Walsh, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 29 Mystic St, Charlestown, MA 02129 Phone: 617-702-2732 | |
Alicia Orr, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9 Kelley Ct, Charlestown, MA 02129 Phone: 617-922-4266 | |
Ms. Paula Frances Reveliotis, MS,RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 122 Bartlett St, Charlestown, MA 02129 Phone: 617-241-5554 | |
Shayna J Bagshaw, RD Dietitian Medicare: Medicare Enrolled Practice Location: 191 Main St Apt 1, Charlestown, MA 02129 Phone: 520-870-7880 |