Healthcare Provider Details

I. General information

NPI: 1639611270
Provider Name (Legal Business Name): ROSE MELISSA KAPLAN R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MITCHELL AVE
BATESVILLE IN
47006-8909
US

IV. Provider business mailing address

759 DELTA AVE
CINCINNATI OH
45226-1989
US

V. Phone/Fax

Practice location:
  • Phone: 812-933-5122
  • Fax: 812-933-5252
Mailing address:
  • Phone: 513-293-7383
  • Fax: 812-933-5252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86002635
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: