| Doctor Name: | MRS. MEGAN KLUCINEC |
| NPI Number: | 1497166524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LDN, CDE |
| License Number: | DN001965 |
| Business Practice Address: | 556 Pittsburgh Mills Circle Destination Wellness Tarentum, PA - 15084 |
| Business Phone Number: | 7242745208 |
| Business Fax Number: | 7242745210 |
| Mailing Address: | 416 Center New Texas Rd, PITTSBURGH |
| State: | PA |
| Postal Code: | 152391820 |
| Phone Number: | 4128289798 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2014 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | DN001965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |