Healthcare Provider Details
I. General information
NPI: 1497664825
Provider Name (Legal Business Name): SARAH KORZAN PHD, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1062 HOLLISTER DR
KENT OH
44240-2067
US
IV. Provider business mailing address
1062 HOLLISTER DR
KENT OH
44240-2067
US
V. Phone/Fax
- Phone: 330-546-4260
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | LD.08467 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: