Kairavi Kedar Kulkarni, MS, RD, LDN

Individual provider Active NPI Registered Dietitian · Eagleville, PA

NPI 1831480284 · NPPES record last updated Apr 20, 2011

Key facts

NPI
1831480284
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
DN004562 (PA)
Practice address
3075 Ridge Pike
Eagleville, PA 19403-1538
Phone
(610) 265-4700
Fax
(610) 878-9318
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN004562PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc Alliance Children Services Past Accepting new patients
Arc Advocacy Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN004562 PA Yes

Addresses

Primary practice location

3075 Ridge Pike
Eagleville, PA 19403-1538

Mailing address

105 Stone Hill Dr
Pottstown, PA 19464-5299
Phone (404) 510-6479

Other providers in Eagleville, PA

All providers in Eagleville, PA · Registered Dietitian in Pennsylvania

Sources for this page

Verify at the official NPI Registry.