Doctor Name: | JILL KLOSS |
NPI Number: | 1972651628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 639 |
Business Practice Address: | 4697 Harrison St Bellaire, OH - 439061338 |
Business Phone Number: | 7406711429 |
Business Fax Number: | 7406711210 |
Mailing Address: | 4697 Harrison St, BELLAIRE |
State: | OH |
Postal Code: | 439061338 |
Phone Number: | 7406711429 |
Fax Number: | 7406711210 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 639 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
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 |