Individual
JILL R KOEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LMNT, CSSD, CDE
Contact information
Practice address
17940 WELCH PLZ STE 106, OMAHA, NE 68135-3714
(402) 350-8664
Mailing address
3222 S 187TH ST, OMAHA, NE 68130-6102
(402) 350-8664
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
940
NE
Other
Enumeration date
12/22/2009
Last updated
03/17/2018
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