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NPI Code Detail

MEDICARE: MRS. ZENA LEE DUCKETT MA, RDN, LDN, CDCES

MEDICARE: MRS. ZENA LEE DUCKETT MA, RDN, LDN, CDCES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN006469PA

General Provider Information

NPI Number : 1598322604
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ZENA LEE DUCKETT MA, RDN, LDN, CDCES
Provider Business Mailing Address
First Line : 319 BALA TER W
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-1139
Country : US
Telephone Number : 610-470-5246
Fax Number :
Provider Business Practice Location Address
First Line : TWO LOGAN SQUARE, 100 N 18TH STREET
Second Line : SUITE 324
City : PHILADELPHIA
State : PA
Zip : 19103-2733
Country : US
Telephone Number : 610-470-5246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 07/18/2024

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