Ms Janet Kimmons, RD is a
Dietary Manager based in Columbia, Missouri. Ms Janet Kimmons is licensed to practice in Missouri (license number 2002025461) and her current practice location is
1600 E Broadway, Columbia, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 815-3258.
NPI number for Ms Janet Kimmons is 1194177808 and her current mailing address is 1600 E Broadway, Columbia, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194177808.
Healthcare Provider's Profile
| Full Name | Ms Janet Kimmons |
|---|
| Gender | Female |
|---|
| Speciality | Dietary Manager |
|---|
| Location | 1600 E Broadway, Columbia, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194177808
- Provider Enumeration Date: 07/06/2016
- Last Update Date: 07/06/2016
Medical Identifiers
Medical identifiers for Ms Janet Kimmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194177808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 132700000X | Dietary Manager | 2002025461 (Missouri) | 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. Ms Janet Kimmons 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 |
Ms Janet Kimmons, RD 1600 E Broadway, Columbia, MO 65201-5844 Ph: (573) 815-3258 | Ms Janet Kimmons, RD 1600 E Broadway, Columbia, MO 65201-5844 Ph: (573) 815-3258 |
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