Individual
KRISTY KOELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE, CSG
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 231-7116
(814) 231-7118
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 231-7116
(814) 231-7118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003908
PA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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