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NPI Code Detail

MEDICARE: KRISTEN DEANGELIS RDN

MEDICARE: KRISTEN DEANGELIS RDN
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 Dietitian7884OH

General Provider Information

NPI Number : 1679932792
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN DEANGELIS RDN
Provider Business Mailing Address
First Line : PO BOX 633448
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-3448
Country : US
Telephone Number : 513-853-4749
Fax Number : 513-853-4740
Provider Business Practice Location Address
First Line : 8240 NORTHCREEK DR
Second Line : SUITE 4100
City : CINCINNATI
State : OH
Zip : 45236-2283
Country : US
Telephone Number : 513-463-2500
Fax Number : 513-463-2510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2016
Last Update Date : 02/19/2016

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Directions to “ KRISTEN DEANGELIS RDN” Practice Location

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