Provider Demographics
NPI:1992404628
Name:SCHEER, KRISTEN L (RD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:L
Last Name:SCHEER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6430 COUNTY ROAD 3
Mailing Address - Street 2:
Mailing Address - City:SWANTON
Mailing Address - State:OH
Mailing Address - Zip Code:43558-9080
Mailing Address - Country:US
Mailing Address - Phone:419-356-9155
Mailing Address - Fax:
Practice Address - Street 1:27457 HOLIDAY LN STE G
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5364
Practice Address - Country:US
Practice Address - Phone:419-356-9155
Practice Address - Fax:567-698-7872
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.7623133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered