Provider Demographics
NPI:1902418981
Name:KAGAN, INNA (RDN)
Entity Type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:KAGAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1921
Mailing Address - Country:US
Mailing Address - Phone:508-816-4240
Mailing Address - Fax:
Practice Address - Street 1:8 WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1921
Practice Address - Country:US
Practice Address - Phone:508-816-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered