Individual
MRS. KYLEE ANN CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
23460 EDEN ST, PLAQUEMINE, LA 70764-2528
(225) 385-5355
Mailing address
62300 BAYOU JACOB RD, PLAQUEMINE, LA 70764-5524
(225) 385-5355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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