NPI 1003918681

Andrea Kozak Jevenn, RD

Practitioner Registered Dietitian Cleveland, OH

Practice location

Address: 9500 Euclid Ave, Cleveland, OH 44195-0001
Phone: (800) 223-2273
Mailing address: 6000 W Creek Rd Suite 10, Independence, OH 44131-2139

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 5352 (OH)

Other Dietitian, Registered providers in Ohio →

Registry record

NPI: 1003918681
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2006
Record last updated: 18 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.