Andrea Renee Komm MS, RD, LD

NPI 1700057031 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1700057031
Gender Female
Enumeration Date 03/14/2008
Last Updated 03/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7601 SOUTHCREST PKWY
SOUTHAVEN MS, 38671-4739, US
Phone (662) 772-3186
Fax (662) 772-3197
Business Location
7601 SOUTHCREST PKWY
SOUTHAVEN MS, 38671-4739, US
Phone (662) 772-3186
Fax (662) 772-3197
Toxanomy
Taxonomy Code 133V00000X
License State Mississippi
License Number D1274
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According to our database, Ms. Andrea Renee Komm MS, RD, LD NPI is 1700057031, taxonomy code is 133V00000X and license number is D1274, license state is located at Mississippi. Andrea Renee Komm MS, RD, LD physically located at 7601 Southcrest Pkwy, Southaven MS, 38671-4739. NPI Number Andrea Renee Komm MS, RD, LD has the Individual type.

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1700057031 NPI number is provided on an as is basis without warranty of any kind. 1700057031 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Renee Komm MS, RD, LD are for informational purposes only.