MS. EVA PETKAC DONNELLY RD/LD NPI 1740219146

NPI Information

MS. Eva Petkac Donnelly, RD/LD is a nutrition and renal dietitian registered in Canton, OH. The provider is 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/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. MS. Eva Petkac Donnelly, RD/LD NPI is 1740219146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4689 FULTON DR NW
CANTON, OH
ZIP 44718-379
Phone: (330) 649-9400
Fax: (330) 649-8059

The enumeration date for this NPI number is 6/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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