Individual
KACEY PODOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2222 CHERRY ST STE 1000, TOLEDO, OH 43608-2673
(419) 251-8042
(419) 251-7714
Mailing address
2222 CHERRY ST STE 1900, TOLEDO, OH 43608-2673
(419) 251-3878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD.7824
OH
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
LD.7824
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046151
—
OH
Enumeration date
03/20/2024
Last updated
04/14/2025
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