Individual
SAMANTHA KABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
17600 DETROIT AVE APT 712, LAKEWOOD, OH 44107-3440
(440) 478-4727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.08324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86074489
COMMISSION ON DIETETIC REGISTRATION
—
01
—
LD.08324
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
12/12/2022
Last updated
12/12/2022
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