MEDICARE: KNK NUTRITION LLC

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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1811620131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNK NUTRITION LLC

Provider Business Mailing Address
First Line	:	9066 HUMBERSIDE AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-8201
Country	:	US
Telephone Number	:	330-806-0050
Fax Number	:

Provider Business Practice Location Address
First Line	:	9066 HUMBERSIDE AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-8201
Country	:	US
Telephone Number	:	330-806-0050
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KAYLA KOPP
Credential	:	RD
Telephone Number	:	330-806-0050

Provider Enumeration Date	:	07/05/2022
Last Update Date	:	07/05/2022

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1801631502 — JOHN ANDREW WALSH PH.D.
Practice Location Address:

3425 EMPIRE STATE DR
CANTON, MI
48188-8201

Practice Phone: 812-878-8880
Practice Fax:

1821815853 — BHAVIK BRAHMBHATT
Practice Location Address:

3311 EMPIRE STATE DR
CANTON, MI
48188-8201

Practice Phone: 248-795-4584
Practice Fax:

1912891870 — KESHAV CARE LLC
Practice Location Address:

3311 EMPIRE STATE DR
CANTON, MI
48188-8201

Practice Phone: 248-795-4584
Practice Fax:

1902880057 — DR. JEFFREY MICHAEL PIETRZYK OD
Practice Location Address:

540 W NORTH ST , SUITE 209
MANHATTAN, IL
60442-8201

Practice Phone: 815-478-0100
Practice Fax: 815-478-9100

1083677504 — CHRISTA D PIETRZYK O.D.
Practice Location Address:

540 W NORTH ST , SUITE 209
MANHATTAN, IL
60442-8201

Practice Phone: 815-478-0100
Practice Fax: 815-478-9100

Directions to “KNK NUTRITION LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.