Provider Demographics
NPI:1275129470
Name:KUGLER, EILEEN (RDN)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:KUGLER
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 1:1817 HILLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-1018
Mailing Address - Country:US
Mailing Address - Phone:951-970-4133
Mailing Address - Fax:
Practice Address - Street 1:1817 HILLWOOD CT
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-1018
Practice Address - Country:US
Practice Address - Phone:951-970-4133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-12
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered