Individual
RYAN KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
418 OWL DR, LOUISVILLE, CO 80027-2252
(570) 650-9075
Mailing address
418 OWL DR, LOUISVILLE, CO 80027-2252
(570) 650-9075
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
01/31/2018
Last updated
06/10/2020
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