Doctor Name: | MR. RYAN P KOELSCH |
NPI Number: | 1568607570 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS, MS |
License Number: | |
Business Practice Address: | 650 Joel Drive Nutrition Care Division Ft. Campbell, TN - 422235318 |
Business Phone Number: | 2707988080 |
Business Fax Number: | |
Mailing Address: | 650 Joel Drive, Nutrition Care Division FT. CAMPBELL |
State: | TN |
Postal Code: | 422235318 |
Phone Number: | 2707988080 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2008 |
NPI Last Update Date: | 12/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |