Doctor Name: | STEPHANIE WELCH |
NPI Number: | 1992911523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED DIETITIAN |
License Number: | LDN949 |
Business Practice Address: | 650 Joel Dr Fort Campbell, KY - 422235318 |
Business Phone Number: | 2707988077 |
Business Fax Number: | |
Mailing Address: | 3240 Tower Dr Apt 3, CLARKSVILLE |
State: | TN |
Postal Code: | 370421555 |
Phone Number: | 8653685307 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LDN949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |