Wayne Kostolni in Fort Campbell - Dietitian, Registered
Wayne Kostolni - NPI 1720135809
Wayne Kostolni is a Dietitian, Registered in Fort Campbell, Kentucky. Wayne Kostolni practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Wayne Kostolni is 1720135809. The last update date is 2007-07-08.
Wayne Kostolni's current location address is 650 Joel Drive, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988727 and fax number 2709560180. The mailing address for Wayne Kostolni is 650 Joel Drive, Fort Campbell, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wayne Kostolni |
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Address | 650 Joel Drive, Fort Campbell, Kentucky |
Phone Number | 2707988727 |
Fax Number | 2709560180 |
Sole Proprietor | N |
Credentials | RD LDN |
NPI Number Detail
NPI Number | 1720135809 |
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Provider Enumeration Date | 2007-01-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 650 Joel Drive |
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City | Fort Campbell |
State | Kentucky (KY) |
Post Code | 422235349 |
Phone Number | 2707988727 |
Fax Number | 2709560180 |
Provider's Primary Taxonomy Detail
Speciality | Dietitian, Registered |
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Taxonomy | 133V00000X |
Licence No | L000823 |
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique provider identifier assigned to Wayne Kostolni?
The Wayne Kostolni has been issued the NPI (National Provider Identifier) 1720135809 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wayne Kostolni?
The Wayne Kostolni is physically situated at 650 Joel Drive, in the city of Fort Campbell, state of KY, with the postal code 422235349.
What is the area of specialization for Wayne Kostolni, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wayne Kostolni is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720135809 to Wayne Kostolni?
The Centers for Medicare & Medicaid Services assigned the 1720135809 to Wayne Kostolni on 2007-01-04.
When was the information regarding Wayne Kostolni, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wayne Kostolni, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.