Individual
KATELYN OPICHKA KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
Mailing address
7200 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5571
(920) 901-3122
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4048
MN
Other
Enumeration date
09/10/2018
Last updated
08/29/2024
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