NPI 1134873839

Samantha B Kostelnik, PHDRDNLD

Practitioner Sports Dietetics Nutrition Registered Dietitian Oxford, MS

Practice location

Address: 2206 Anderson Rd APT 1802, Oxford, MS 38655-2692
Phone: (803) 761-1970
Mailing address: 2301 S Lamar Blvd STE Nw1350, Oxford, MS 38655-5373

Registered specialties (2)

Sports Dietetics Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1501X Licence D-2206 (MS)

Other Dietitian, Registered providers in Mississippi →

Obesity and Weight Management Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1201X Licence D-2206 (MS)

Registry record

NPI: 1134873839
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2022
Record last updated: 10 Feb 2022

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.