Provider Demographics
NPI:1629866637
Name:KEDZIERSKI, HANNAH JANE (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:HANNAH JANE
Middle Name:
Last Name:KEDZIERSKI
Suffix:
Gender:F
Credentials: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 1:8876 A C SKINNER PKWY UNIT 1303
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0883
Mailing Address - Country:US
Mailing Address - Phone:404-661-2573
Mailing Address - Fax:
Practice Address - Street 1:6 CENTRE CT
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-2329
Practice Address - Country:US
Practice Address - Phone:404-661-2573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered