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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ELLEN KATHLEEN SOURS, R.D.,L.D.

Active

MRS. ELLEN KATHLEEN SOURS, R.D.,L.D. is a Renal Nutrition healthcare provider located in CANTON, Ohio. NPI 1548296072 is currently active in the NPPES registry. Verify at CMS.

Renal Nutrition · CANTON, OH

Registration Details

NPI Number
1548296072
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2006 (19.948632506058 yrs)
Last Updated
Jul 8, 2007
License
1569 (OH)

Practice Information

Address
4689 FULTON DR NW
CANTON, OH, 447182379
Browse OH providers · Browse ZIP 44718
Phone
3306499400
Fax
3306498059
Primary Specialty
Renal Nutrition
133VN1005X

Other Renal Nutrition Providers in CANTON, OH

Name Credential NPI
MRS. CATHLEEN RAE TURNER R.D., L.D. 1053355495
MS. EVA PETKAC DONNELLY RD/LD 1740219146
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.