Provider Demographics
NPI:1073974630
Name:CAULKINS, RUHAMAH (MHS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:RUHAMAH
Middle Name:
Last Name:CAULKINS
Suffix:
Gender:F
Credentials:MHS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-7857
Mailing Address - Country:US
Mailing Address - Phone:828-331-8638
Mailing Address - Fax:
Practice Address - Street 1:1180 WALKER RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-7857
Practice Address - Country:US
Practice Address - Phone:828-331-8638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003753133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered