KELLY KOONS (RD, CDE, LD) – Registered Dietitian, NPI 1912344573
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Provider Addresses for KELLY KOONS (RD, CDE, LD)
109 W KNAPP AVE
EDGEWATER, FL 321321555
Phone: (386) 427-4544
Fax: (386) 427-8688
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 32132)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| REGISTERED DIETITIAN OR NUTRITION P | FL | 97802 | Medical nutrition therapy, assessment and intervention, each 15 minutes | 128 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Endocrinology, Internal Medicine | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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