Individual
MEGHAN KATHRYN HOLECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
215 W BOWERY ST BLDG 5TH, AKRON, OH 44308-1069
(330) 543-1569
(330) 543-3677
Mailing address
215 W BOWERY ST, AKRON, OH 44308-1069
(330) 543-1569
(330) 543-3677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.08778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86030459
COMMISSION ON DIETETIC REGISTRATION
OH
01
—
LD.08778
STATE MEDICAL BOARD OF OHIO
OH
01
—
TJ306972
DRIVER LICENSE
OH
Enumeration date
07/14/2022
Last updated
07/14/2022
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