Mrs Deborah Ann Kennedy, MS, RD, LD is a
Dietitian, Registered based in Crockett, Texas. Mrs Deborah Ann Kennedy is licensed to practice in Texas (license number DT00538) and her current practice location is
120 N 5th St, Crockett, Texas. She can be reached at her office (for appointments etc.) via phone at
(936) 544-3438.
NPI number for Mrs Deborah Ann Kennedy is 1326136359 and her current mailing address is 120 N 5th St, Po Box 877, Crockett, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326136359.
Healthcare Provider's Profile
| Full Name | Mrs Deborah Ann Kennedy |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 120 N 5th St, Crockett, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326136359
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Deborah Ann Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326136359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | DT00538 (Texas) | 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. Mrs Deborah Ann Kennedy 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 |
Mrs Deborah Ann Kennedy, MS, RD, LD 120 N 5th St, Po Box 877, Crockett, TX 75835-2010 Ph: (936) 544-3438 | Mrs Deborah Ann Kennedy, MS, RD, LD 120 N 5th St, Crockett, TX 75835-2010 Ph: (936) 544-3438 |
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