| Ms Kelly Nicole Reeser, RD | |
|
4202 W Oakwood Park Ct, Franklin, WI 53132-9118 | |
| (414) 423-5250 | |
| Not Available |
| Full Name | Ms Kelly Nicole Reeser |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4202 W Oakwood Park Ct, Franklin, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659613438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1069975 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | 5442-29 (Wisconsin) | Primary |
| Provider Name | Lakeshore Medical Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Nicole Reeser, RD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Ms Kelly Nicole Reeser, RD 4202 W Oakwood Park Ct, Franklin, WI 53132-9118 Ph: (414) 423-5250 |
Mrs. Melanie Ann Takerian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10101 S 27th St, Franklin, WI 53132 Phone: 414-325-2496 | |
Claire Fadness, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10101 S 27th St, Franklin, WI 53132 Phone: 414-325-2496 | |
Melanie Roemer, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8590 W Woodfield Ct, Franklin, WI 53132 Phone: 414-526-9032 | |
Brenda Kalchbrenner, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 10101 S 27th St, Franklin, WI 53132 Phone: 414-325-4516 | |
Caroline Miriam Fox, RD Dietitian Medicare: Medicare Enrolled Practice Location: 9969 S 27th St, Franklin, WI 53132 Phone: 414-325-4950 | |
Alison H Stoffer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9969 S 27th St, Franklin, WI 53132 Phone: 414-325-4950 | |
Mrs. Laura Fara Zelinski, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10251 W Cascade Dr, Franklin, WI 53132 Phone: 414-550-6083 |