Individual
KYLIE T KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 S 79TH ST, MILWAUKEE, WI 53214-1414
(414) 477-0744
Mailing address
167 S 79TH ST, MILWAUKEE, WI 53214-1414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6008-29
WI
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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