Provider Demographics
NPI:1356586275
Name:PUHLMAN, KRISTEN C (RD)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:C
Last Name:PUHLMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 MCCRACKEN DRIVE
Mailing Address - Street 2:SUITE 253
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125
Mailing Address - Country:US
Mailing Address - Phone:216-587-8246
Mailing Address - Fax:216-584-4372
Practice Address - Street 1:12300 MCCRACKEN RD
Practice Address - Street 2:SUITE 253
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2914
Practice Address - Country:US
Practice Address - Phone:216-587-8246
Practice Address - Fax:216-584-4372
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD5426133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered