Provider Demographics
NPI:1700359718
Name:KAISER, MOLLY (RD, LDN)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:KAISER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10945 REED HARTMAN HWY STE 122
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2854
Mailing Address - Country:US
Mailing Address - Phone:513-729-7809
Mailing Address - Fax:
Practice Address - Street 1:10945 REED HARTMAN HWY STE 122
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2854
Practice Address - Country:US
Practice Address - Phone:513-729-7809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08610133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered