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Registered Dietitian · CINCINNATI, OH

Registration Details

NPI Number
1174174577
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2019 (6.5875750030198 yrs)
Last Updated
Jan 7, 2020
Licenses
LD.08307 (OH)
LD.08307 (OH)

Practice Information

Address
3333 BURNET AVE
CINCINNATI, OH, 452293026
Browse OH providers · Browse ZIP 45229
Phone
5138030011
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Pediatric Nutrition

Other Registered Dietitian Providers in CINCINNATI, OH

Name Credential NPI
MRS. ANITA L DOCK RD LD CDE 1912988825
ELIZABETH ANN HOLLSTEGGE RD LD CDE 1669436358
CHRISTINE MARIE O'CONNOR RD 1639136567
ELIZABETH J. CLAYDON RD 1538117759
KAREN WEBER R.D. 1619911666
MRS. ELLEN K. ILLIG M.ED., R.D. 1811933161
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.