Provider Demographics
NPI:1407618911
Name:KING, ELIZABETH MEINERT (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MEINERT
Last Name:KING
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 1/2 WILLOW FARMS LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1543
Mailing Address - Country:US
Mailing Address - Phone:412-951-2306
Mailing Address - Fax:
Practice Address - Street 1:2 1/2 WILLOW FARMS LN
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1543
Practice Address - Country:US
Practice Address - Phone:412-951-2306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005673133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered