| Doctor Name: | KRISTEN R RUDOLPH |
| NPI Number: | 1295054591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN |
| License Number: | DN004182 |
| Business Practice Address: | 11279 Perry Hwy Suite 105 Wexford, PA - 150909381 |
| Business Phone Number: | 7249343334 |
| Business Fax Number: | 7249349020 |
| Mailing Address: | 11279 Perry Hwy, Suite 450 WEXFORD |
| State: | PA |
| Postal Code: | 150909381 |
| Phone Number: | 7249331100 |
| Fax Number: | 7249331160 |
| NPI Enumeration Date: | 05/26/2010 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN004182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |