Individual
MS. KRISTEN KOCHENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3740 MAIN STREET, PHILADELPHIA, PA 19128-2501
(610) 541-2851
(855) 813-0235
Mailing address
3740 MAIN STREET, PHILADELPHIA, PA 19128-2501
(610) 541-2851
(855) 813-0235
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005623
PA
Other
Enumeration date
02/22/2016
Last updated
11/01/2019
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