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Individual
MRS. HELEN BAILEY KOCH
Active
Individual
MRS. HELEN BAILEY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD002614
GA
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
LD002614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922309
REGISTRATION NUMBER
GA
01
—
LD002614
STATE LICENSE
GA
Enumeration date
05/04/2007
Last updated
07/24/2022
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