Provider Demographics
NPI:1790392694
Name:KILAR, EMILY (MS, CNS, LDN, CLC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KILAR
Suffix:
Gender:F
Credentials:MS, CNS, LDN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 RIVERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3179
Mailing Address - Country:US
Mailing Address - Phone:412-716-5635
Mailing Address - Fax:
Practice Address - Street 1:1305 RIVERFRONT DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3179
Practice Address - Country:US
Practice Address - Phone:412-716-5635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN007208133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist