Organization
KORA NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY COBLER RDN, LD (OWNER)
(979) 236-2301
Entity
Organization
Contact information
Practice address
15310 AMBERLY DR STE 250, TAMPA, FL 33647-1642
(813) 995-7497
Mailing address
PO BOX 48993, TAMPA, FL 33646-0151
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT84078
TX
133V00000X
Registered Dietitian
Primary
ND7562
FL
Other
Enumeration date
10/30/2015
Last updated
03/17/2018
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