NPI 1124018676

Kelly J Coughlin

Practitioner Registered Dietitian Coon Rapids, MN

Practice location

Address: 3960 Coon Rapids Blvd NW STE 220, Coon Rapids, MN 55433-2589
Phone: (763) 236-8438
Mailing address: 2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1578 (MN)

Other Dietitian, Registered providers in Minnesota →

Registry record

NPI: 1124018676
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2005
Record last updated: 30 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.