| Roger Matthew Kienzle, RD | |
|
2274 Edwin Ave, Akron, OH 44314-3742 | |
| (330) 310-5542 | |
| Not Available |
| Full Name | Roger Matthew Kienzle |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 2274 Edwin Ave, Akron, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578328993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD.5521 (Ohio) | Primary |
| Provider Name | Lodi Community Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801807870 PECOS PAC ID: 0547237927 Enrollment ID: O20040915000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Matthew Kienzle, RD 2274 Edwin Ave, Akron, OH 44314-3742 Ph: Not Available | Roger Matthew Kienzle, RD 2274 Edwin Ave, Akron, OH 44314-3742 Ph: (330) 310-5542 |
Jessica Barbieri, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-0696 |
Miss Lauren Hannibal, LD, RD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 55 W Waterloo Rd, Akron, OH 44319 Phone: 435-651-3700 Fax: 435-651-3376 |
Alicia Marie Ferrell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-2219 Fax: 330-344-7024 |
Sarah Gates Phillips, RD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-8240 |
Julie Blackburn, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 508 Jarvis Rd Unit 1, Akron, OH 44319 Phone: 330-714-8476 |
Angela Michele Ciocca, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Akron General Ave, Akron, OH 44307 Phone: 330-344-7039 |
Laura Jane Szekely, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Perkins Sq, Akron, OH 44308 Phone: 330-543-8020 Fax: 330-543-3808 |