Ellen Kathleen Sours in Canton - Nutrition, Renal

Ellen Kathleen Sours - NPI 1548296072

Ellen Kathleen Sours is a Nutrition, Renal in Canton, Ohio. Ellen Kathleen Sours practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Ellen Kathleen Sours is 1548296072. The last update date is 2007-07-08.

Ellen Kathleen Sours's current location address is 4689 Fulton Dr Nw, Canton, Ohio. You can contact this provider via phone number 3306499400 and fax number 3306498059. The mailing address for Ellen Kathleen Sours is 4689 Fulton Dr Nw, Canton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Kathleen Sours
Address 4689 Fulton Dr Nw, Canton, Ohio
Phone Number 3306499400
Fax Number 3306498059
Sole Proprietor X
Credentials R.D.,L.D.

NPI Number Detail

NPI Number 1548296072
Provider Enumeration Date 2006-06-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4689 Fulton Dr Nw
City Canton
State Ohio (OH)
Post Code 447182379
Phone Number 3306499400
Fax Number 3306498059

Provider's Primary Taxonomy Detail

Speciality Nutrition, Renal
Taxonomy 133Vn1005X
Licence No 1569
Definition:
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl

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FAQs about Ellen Kathleen Sours

What is the unique identifier code issued to Ellen Kathleen Sours by the Centers for Medicare & Medicaid Services (CMS)?

The Ellen Kathleen Sours has been assigned the NPI (National Provider Identifier) 1548296072. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Ellen Kathleen Sours's physical address?

The Ellen Kathleen Sours is physically located at 4689 Fulton Dr Nw, in the city of Canton, OH, with the postal code 447182379.

What is the area of specialization for Ellen Kathleen Sours, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ellen Kathleen Sours is Nutrition, Renal, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1005X.

On what date was the 1548296072 assigned to Ellen Kathleen Sours?

The Ellen Kathleen Sours was issued its 1548296072 on 2006-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Ellen Kathleen Sours, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ellen Kathleen Sours, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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