| Shane Mikesky, RD | |
|
2050a 2nd St Se, Kirtland Afb, NM 87117-7220 | |
| (505) 846-3200 | |
| Not Available |
| Full Name | Shane Mikesky |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 2050a 2nd St Se, Kirtland Afb, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225769730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86174678 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Mikesky, RD 3832 La Charles Dr Ne, Albuquerque, NM 87111-4116 Ph: (317) 650-7234 | Shane Mikesky, RD 2050a 2nd St Se, Kirtland Afb, NM 87117-7220 Ph: (505) 846-3200 |
Mr. Matthew Harmon, RD, CSSD, CSCS Dietitian Medicare: Medicare Enrolled Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 | |
Morgan L Saucedo, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2050 A Second St Se, Kirtland Afb, NM 87117 Phone: 505-846-1186 | |
Mandy Kenyon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2050 A Second St Se, Kirtland Afb, NM 87117 Phone: 760-450-3107 | |
Julia Zalewski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2050a 2nd St Se, Kirtland Afb, NM 87117 Phone: 505-846-3200 |