Mr Ryan P Koelsch, BS, MS is a
Dietitian, Registered based in Ft. Campbell, Tennessee. Mr Ryan P Koelsch is licensed to practice in * (Not Available) (license number ) and his current practice location is
650 Joel Drive, Nutrition Care Division, Ft. Campbell, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(270) 798-8080.
NPI number for Mr Ryan P Koelsch is 1568607570 and his current mailing address is 650 Joel Drive, Nutrition Care Division, Ft. Campbell, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568607570.
Healthcare Provider's Profile
| Full Name | Mr Ryan P Koelsch |
|---|
| Gender | Male |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 650 Joel Drive, Ft. Campbell, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568607570
- Provider Enumeration Date: 12/04/2008
- Last Update Date: 12/04/2008
Medical Identifiers
Medical identifiers for Mr Ryan P Koelsch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568607570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ryan P Koelsch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Ryan P Koelsch, BS, MS
650 Joel Drive, Nutrition Care Division,
Ft. Campbell, TN 42223-5318
Ph: (270) 798-8080 | Mr Ryan P Koelsch, BS, MS
650 Joel Drive, Nutrition Care Division,
Ft. Campbell, TN 42223-5318
Ph: (270) 798-8080 |
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