Provider Demographics
NPI:1487722427
Name:KUZNAR, ELAINE (RD LD CDE)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:KUZNAR
Suffix:
Gender:F
Credentials:RD LD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8832 REVERE RUN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-3628
Mailing Address - Country:US
Mailing Address - Phone:513-779-9552
Mailing Address - Fax:
Practice Address - Street 1:MERCY HOSPITAL
Practice Address - Street 2:3000 MACK ROAD--DIABETES EDUCATION
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014
Practice Address - Country:US
Practice Address - Phone:513-682-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH133133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered