Provider Demographics
NPI:1831632934
Name:KLAUS, JARED (RD)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:
Last Name:KLAUS
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2067 PARK RUN DR
Mailing Address - Street 2:APARTMENT E
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2438
Mailing Address - Country:US
Mailing Address - Phone:567-712-0520
Mailing Address - Fax:
Practice Address - Street 1:1699 W MOUND ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-1809
Practice Address - Country:US
Practice Address - Phone:614-437-2981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered