Provider Demographics
NPI:1023861614
Name:KAEHR, AMBER (RDN)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:KAEHR
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 1:52135 COUNTY ROAD 131
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:IN
Mailing Address - Zip Code:46507-8859
Mailing Address - Country:US
Mailing Address - Phone:260-820-0818
Mailing Address - Fax:
Practice Address - Street 1:2024 DORCHESTER CT STE 1
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-6546
Practice Address - Country:US
Practice Address - Phone:574-537-1221
Practice Address - Fax:574-537-1225
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37001343A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered