Individual
KATHRYN KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD. LD
Contact information
Practice address
412 S SCOTT RD, FORT WAYNE, IN 46814-9702
(260) 358-7180
Mailing address
260 PREMIER AVE APT 101, BLUFFTON, IN 46714-0077
(216) 952-7879
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37004107A
IN
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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