Provider Demographics
NPI:1770789893
Name:KUZ, JUNE CAROLYN (MS, RD, LDN, HFI)
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:CAROLYN
Last Name:KUZ
Suffix:
Gender:F
Credentials:MS, RD, LDN, HFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 SYCAMORE SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-4514
Mailing Address - Country:US
Mailing Address - Phone:610-518-5253
Mailing Address - Fax:
Practice Address - Street 1:107 SYCAMORE SPRINGS LN
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-4514
Practice Address - Country:US
Practice Address - Phone:610-518-5253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002928133N00000X
PA720548133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionist
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADN002928OtherLICENSED NUTRITIONIST
PA720548OtherREGISTERED DIETITIAN