Individual
MRS. SARA CAITLIN KITCHEN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-6090
Mailing address
19 AUTUMN PL NE, WHITE, GA 30184-2776
(678) 372-7679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD005262
GA
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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