NPI 1336826627
Johanna Grace Kultys
Practice location
- Address
- 2641 Hibiscus Way APT 204, Beavercreek, OH 45431-2396
- Phone
- (570) 690-6718
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1336826627
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jun 2023
- Record last updated
- 31 Jul 2023
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.