Mrs Kylie L Wall, RD, LD is a
Dietitian, Registered based in Kahuku, Hawaii. Mrs Kylie L Wall is licensed to practice in Hawaii (license number 3-LD) and her current practice location is
56-119 Pualalea St, Kahuku, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 293-9321.
NPI number for Mrs Kylie L Wall is 1275884215 and her current mailing address is 59-578 Kamehameha Hwy, Haleiwa, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275884215.
Healthcare Provider's Profile
| Full Name | Mrs Kylie L Wall |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
|---|
| Location | 56-119 Pualalea St, Kahuku, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275884215
- Provider Enumeration Date: 10/01/2012
- Last Update Date: 10/01/2012
Medical Identifiers
Medical identifiers for Mrs Kylie L Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275884215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 3-LD (Hawaii) | 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 Kylie L Wall 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 Kylie L Wall, RD, LD
59-578 Kamehameha Hwy,
Haleiwa, HI 96712-9625
Ph: (808) 237-9808 | Mrs Kylie L Wall, RD, LD
56-119 Pualalea St,
Kahuku, HI 96731-2052
Ph: (808) 293-9321 |
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