Individual
MS. KELLIE KOSWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CLC
Contact information
Practice address
1000 LINCOLN ST, CS 4200, FORT MORGAN, CO 80701-3290
(970) 542-3321
(970) 867-7972
Mailing address
1000 LINCOLN ST, CS 4200, FORT MORGAN, CO 80701-3290
(970) 542-3321
(970) 867-7972
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86020817
CO
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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