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Individual

MR. RYAN P KOELSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, MS

Contact information

Practice address
650 JOEL DRIVE, NUTRITION CARE DIVISION, FT. CAMPBELL, TN 42223-5318
(270) 798-8080
Mailing address
650 JOEL DRIVE, NUTRITION CARE DIVISION, FT. CAMPBELL, TN 42223-5318
(270) 798-8080

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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