Individual
JEAN STELTENPOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
518 CHESKIRK PL, LOUISVILLE, KY 40243
(502) 216-9034
Mailing address
518 CHESKIRK PL, LOUISVILLE, KY 40243-1755
(502) 216-9034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
803146
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
KY
Enumeration date
02/24/2017
Last updated
02/24/2017
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