Provider Demographics
NPI:1093213035
Name:WOHL, KATHERINE (RD, LD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:WOHL
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:DIGERONIMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:141 E WHITTIER ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2636
Mailing Address - Country:US
Mailing Address - Phone:216-870-2511
Mailing Address - Fax:
Practice Address - Street 1:2050 EAST 96TH STREET
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-870-2511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.7449133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered