Individual
REBECCA KOEPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
8400 WASHINGTON AVE., RACINE, WI 53406
(262) 321-3065
(262) 321-3019
Mailing address
8400 WASHINGTON AVE., RACINE, WI 53406
(262) 321-3065
(262) 321-3019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
287-29
WI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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