Provider Demographics
NPI:1396036828
Name:SCHENKEL, AMI J (RD, LD)
Entity Type:Individual
Prefix:
First Name:AMI
Middle Name:J
Last Name:SCHENKEL
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6288 SWANBROOK LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-5203
Mailing Address - Country:US
Mailing Address - Phone:513-389-6468
Mailing Address - Fax:
Practice Address - Street 1:6288 SWANBROOK LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-5203
Practice Address - Country:US
Practice Address - Phone:513-389-6468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD 3342133V00000X
KY2220133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered