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NPI Code Detail

MEDICARE: KATIE J BELLER RD, LMNT

MEDICARE: KATIE J BELLER RD, LMNT
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 Dietitian1310NE

General Provider Information

NPI Number : 1154948248
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE J BELLER RD, LMNT
Provider Business Mailing Address
First Line : 4214 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1616
Country : US
Telephone Number : 402-564-1338
Fax Number : 402-564-8902
Provider Business Practice Location Address
First Line : 4214 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1616
Country : US
Telephone Number : 402-564-1338
Fax Number : 402-564-8902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2020
Last Update Date : 04/14/2026

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Directions to “ KATIE J BELLER RD, LMNT” Practice Location

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