Individual
KATIE REBECCA CONRAD MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
2200 MIAMI VALLEY DR, DAYTON, OH 45459
(937) 765-1363
Mailing address
1705 BLEDSOE DR, BELLBROOK, OH 45305-1314
(937) 765-1363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8169
OH
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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