Individual
KURSTIN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
111 NORTH ST, FARMINGTON, MO 63640-2463
(573) 344-5765
Mailing address
111 NORTH ST, FARMINGTON, MO 63640-2463
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2012032386
MO
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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