Kristen Rudolph
Dietitian, Registered in Wexford, PA. Individual provider (NPI-1).
NPI number1295054591
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1295054591
- Entity type
- Individual (NPI-1)
- Name
- Kristen Rudolph
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2010
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN004182 | PA | Yes |
Practice location
11279 Perry HwySuite 105
Wexford, PA 15090-9381
Phone 724-934-3334
Mailing address
11279 Perry HwySuite 450
Wexford, PA 15090-9381
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