Doctor Name: | CAROL ANN KOSTELLA |
NPI Number: | 1053765404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 259 |
Business Practice Address: | 3724 N Loyola Dr Apt 141 Kenner, LA - 700657738 |
Business Phone Number: | 5044021190 |
Business Fax Number: | |
Mailing Address: | 3724 Loyola Drive, Apt. 141 KENNER |
State: | LA |
Postal Code: | 70065 |
Phone Number: | 5044021190 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2016 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 259 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |