Kelly J Coughlin
NPI #1124018676 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1124018676
- Entity Type
- Individual
- Name
- Kelly J Coughlin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Oct 26, 2005
- Last Updated
- May 30, 2024
Practice Location
- Address
- 3960 COON RAPIDS BLVD NW STE 220
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-2589
- Phone
- (763) 236-8438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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