Healthcare Provider Details

I. General information

NPI: 1679444285
Provider Name (Legal Business Name): KATELYN ELIZABETH OHL MS, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 SCHOLAR LN
NORTH CHARLESTON SC
29406-8913
US

IV. Provider business mailing address

19 LLEWELLYN LN
ROYERSFORD PA
19468-1760
US

V. Phone/Fax

Practice location:
  • Phone: 484-942-6560
  • Fax:
Mailing address:
  • Phone: 484-942-6560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86212397
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: