Ajay Philip Koleth
NPI #1477290484 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1477290484
- Entity Type
- Individual
- Name
- Ajay Philip Koleth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nutritionist - Nutrition, Education
- Enumeration Date
- May 19, 2022
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 220 W ELK AVE
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2612
- Phone
- (423) 561-1623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
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