Individual
TRAVIS KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2501 AVENT FERRY RD APT F, RALEIGH, NC 27606-3119
(910) 398-2673
Mailing address
2501 AVENT FERRY RD APT F, RALEIGH, NC 27606-3119
(910) 398-2673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NC
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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