| Mr Martin D Smith, RD, LD | |
|
2960 Tongass Ave, Ketchikan, AK 99901-5742 | |
| (907) 228-9441 | |
| (800) 591-0121 |
| Full Name | Mr Martin D Smith |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 2960 Tongass Ave, Ketchikan, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194091041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 280 (Alaska) | Primary |
| Provider Name | Ketchikan Indian Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821120486 PECOS PAC ID: 8426043761 Enrollment ID: O20050623000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Martin D Smith, RD, LD 2960 Tongass Ave, Ketchikan, AK 99901-5742 Ph: (907) 228-9441 | Mr Martin D Smith, RD, LD 2960 Tongass Ave, Ketchikan, AK 99901-5742 Ph: (907) 228-9441 |
Gail Yip Chuck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8300 | |
Balance And Nourish, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 540 Water St Ste 101, Ketchikan, AK 99901 Phone: 907-821-1340 | |
Jessica Teune, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-9328 | |
Kristi Carol Kvist, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264 | |
Emily Nicole Henry, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 97 Eichner Ave, Ketchikan, AK 99901 Phone: 907-821-1340 | |
Mrs. Janai Marie Meyer, R.D., IBCLC Dietitian Medicare: May Accept Medicare Assignments Practice Location: 130 Carlanna Lake Rd Lowr, Ketchikan, AK 99901 Phone: 907-220-9920 Fax: 907-220-9925 |