Individual
COURTNEY KOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2178
(214) 456-6287
Mailing address
7540 EDNA CT, APT 5421, PLANO, TX 75024-5864
(214) 456-2178
(214) 456-6287
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT83376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108322
REGISTERED DIETITIAN
—
01
—
DT83376
LICENSED DIETITIAN
TX
Enumeration date
01/06/2016
Last updated
01/06/2016
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