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NPI Code Detail

MEDICARE: KELSIE GEE RAIGN MS, RD, LD

MEDICARE: KELSIE GEE RAIGN MS, RD, LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDT88030TX

General Provider Information

NPI Number : 1558122150
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE GEE RAIGN MS, RD, LD
Provider Business Mailing Address
First Line : 1870 W BITTERS RD STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78248-1827
Country : US
Telephone Number : 210-545-4422
Fax Number : 888-582-7143
Provider Business Practice Location Address
First Line : 1870 W BITTERS RD STE 101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78248-1827
Country : US
Telephone Number : 210-545-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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