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NPI Code Detail

MEDICARE: JILLIAN MEGHAN KLEMM RD, LD

MEDICARE:   JILLIAN MEGHAN KLEMM  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 Dietitian86074335
2133V00000XRegistered Dietitian2227SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285390369
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN MEGHAN KLEMM RD, LD
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 57 CROSS PARK CT
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4264
Country : US
Telephone Number : 864-220-8907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2021
Last Update Date : 08/18/2023

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Directions to “ JILLIAN MEGHAN KLEMM RD, LD” Practice Location

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