| Mr Matthew Harmon, RD, CSSD, CSCS | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (270) 798-8400 | |
| Not Available |
| Full Name | Mr Matthew Harmon |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered - Nutrition, Sports Dietetics |
| Location | 650 Joel Dr, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437769650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | 86098402 (* (Not Available)) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Harmon, RD, CSSD, CSCS 715 County Road 152, Abilene, TX 79601-7901 Ph: (737) 529-0187 | Mr Matthew Harmon, RD, CSSD, CSCS 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8400 |
Reva L. Rogers, Dietitian Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180 | |
Mr. Trevor Carnegie Lomax, MS, RD, CSSD, CSCS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Mr. Jeffery Lee Heileson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-0621 | |
Mary Beth Mcquary, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8077 | |
Mrs. Adina Ruth Johnson, MS, RD, CSOWM, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-956-0621 | |
Gena Baisa, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 | |
Alexander Maxwell Sebba, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 |