Provider Demographics
NPI:1598396855
Name:KECSKEMETHY, HEIDI HERR (MS ED, RDN, CSP)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:HERR
Last Name:KECSKEMETHY
Suffix:
Gender:F
Credentials:MS ED, RDN, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 S PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6938
Mailing Address - Country:US
Mailing Address - Phone:610-506-8354
Mailing Address - Fax:
Practice Address - Street 1:515 S PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:PA
Practice Address - Zip Code:19086-6938
Practice Address - Country:US
Practice Address - Phone:610-506-8354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric