Provider Demographics
NPI:1043690134
Name:KLEINMAN, DAVIDA (RDN)
Entity Type:Individual
Prefix:
First Name:DAVIDA
Middle Name:
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 N EASTON RD
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1068
Mailing Address - Country:US
Mailing Address - Phone:215-230-1900
Mailing Address - Fax:215-230-1909
Practice Address - Street 1:875 N EASTON RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1068
Practice Address - Country:US
Practice Address - Phone:215-230-1900
Practice Address - Fax:215-230-1909
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004155133N00000X, 133V00000X, 133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric