Provider Demographics
NPI:1790401750
Name:PALASZ, KERI ANN (PHD, MS, RDN, LDN)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:ANN
Last Name:PALASZ
Suffix:
Gender:F
Credentials:PHD, MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 OAKHILL DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8364
Mailing Address - Country:US
Mailing Address - Phone:717-615-1024
Mailing Address - Fax:
Practice Address - Street 1:62 OAKHILL DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8364
Practice Address - Country:US
Practice Address - Phone:717-615-1024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86007819133V00000X
PADN005960133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered