Individual
CHANEL KERSCHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CPT
Contact information
Practice address
5886 VENTURE PARK, KALAMAZOO, MI 49009-1848
(269) 845-2558
Mailing address
220 FAIRWAY CT, PLAINWELL, MI 49080-9122
(269) 845-2558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
01/31/2011
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