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Organization

NUTRITIONALLY AOK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA OCHSENBEIN KIRKPATRICK MS, RD, LDN, CLC (PRIVATE PRACTICE DIETITIAN)
(423) 227-5017
Entity
Organization

Contact information

Practice address
6103 HUNTER CREST DR, OOLTEWAH, TN 37363-6508
(423) 227-5017
Mailing address
6103 HUNTER CREST DR, OOLTEWAH, TN 37363-6508
(423) 227-5017

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2167
TENNESSEE DEPARTMENT OF HEALTH
TN
Enumeration date
05/12/2022
Last updated
05/18/2022
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