Individual
MELISSA A KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4101 WOOLWORTH AVENUE, NUTRITION 120, OMAHA, NE 68105-3309
(402) 886-8830
Mailing address
4101 WOOLWORTH AVENUE, NUTRITION (120), OMAHA, NE 68105-3309
(402) 886-8830
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002538
GA
Other
Enumeration date
11/28/2006
Last updated
08/20/2013
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