| Mckenna King, | |
|
18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 | |
| (623) 399-6825 | |
| Not Available |
| Full Name | Mckenna King |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 2 Years |
| Location | 18001 N 79th Ave Ste A12, Glendale, Arizona |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770027971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86359292 (Arizona) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Provider Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenna King, 3960 Walnut Dr, Eureka, CA 95503-8938 Ph: (707) 268-8722 | Mckenna King, 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825 |
Am Nutrition Services Dietitian Medicare: Medicare Enrolled Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Cara Jansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Jacqueline Carbajal, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |
Kelly Creed, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste A12, Glendale, AZ 85308 Phone: 623-399-6825 |
Jazmin Denise Mickens, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 |
Ms. Kaitlyn Marie Shannon, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 Phone: 602-341-5248 Fax: 602-702-5219 |
Ms. Kathryn Anne Mason, REGISTERED DIETITIAN Dietitian Medicare: Medicare Enrolled Practice Location: 17505 N 79th Ave, Suite 407, Glendale, AZ 85308 Phone: 623-399-6825 Fax: 623-505-3474 |