Individual
KELLY A KOPECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3416-29
WI
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
09/29/2020
Last updated
12/01/2020
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