Individual provider · Type 1 NPI

Kathryn Koller, RD. LD

Registered Dietitian · Fort Wayne, IN

NPI number 1942004585 Active

Practice location

412 S Scott Rd
Fort Wayne, IN 46814-9702

Mailing address

260 Premier Ave Apt 101
Bluffton, IN 46714-0077

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X37004107A (IN)

Registered Dietitian: 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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1942004585

Kathryn Koller, RD. LD's National Provider Identifier is 1942004585, issued on Apr 2, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 2, 2025.