Individual
COURTNEY LEIGH KOZISCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
400 US 70 HIGHWAY E, GARNER, NC 27529-4049
(919) 235-6400
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598445512
—
NC
Enumeration date
07/24/2023
Last updated
09/26/2023
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