Provider Demographics
NPI:1730582503
Name:EPLER, KIMBERLY (RD)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:
Last Name:EPLER
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 1:890 N MEADOWCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1139
Mailing Address - Country:US
Mailing Address - Phone:513-207-2449
Mailing Address - Fax:
Practice Address - Street 1:519 PENN AVE
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-2082
Practice Address - Country:US
Practice Address - Phone:513-207-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA004808133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered