| Mrs Kathy Jones Crotts, MS, RD, LDN | |
|
125 Tom Crotts Ln, Mocksville, NC 27028-5444 | |
| (336) 998-7364 | |
| Not Available |
| Full Name | Mrs Kathy Jones Crotts |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 125 Tom Crotts Ln, Mocksville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902042633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L003069 (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Kidney Nutrition Care Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851017123 PECOS PAC ID: 0244609998 Enrollment ID: O20221220000716 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathy Jones Crotts, MS, RD, LDN 125 Tom Crotts Ln, Mocksville, NC 27028-5444 Ph: (336) 817-8991 | Mrs Kathy Jones Crotts, MS, RD, LDN 125 Tom Crotts Ln, Mocksville, NC 27028-5444 Ph: (336) 998-7364 |
Ms. Cathy Manson, MED, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 277 Meroney St, Mocksville, NC 27028 Phone: 336-753-6178 Fax: 336-751-0335 | |
Mandi Irwin, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 210 Hospital St, Mocksville, NC 27028 Phone: 336-753-6750 Fax: 336-751-0335 | |
Kidney Nutrition Care Center Llc Dietitian Medicare: Medicare Enrolled Practice Location: 101 Wilkesboro St Ste A, Mocksville, NC 27028 Phone: 336-936-8169 Fax: 844-440-1999 |