Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Koran Watson Haven of Health LLC

Organization Registered Dietitian · NPI 1104401322

Koran Watson Haven of Health LLC is a Registered Dietitian in Philadelphia, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 S 11th St
Philadelphia, PA 19107-4223
Phone: (267) 209-3245
Fax: (267) 907-8591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1104401322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koran Watson — Owner/ Ceo · (267) 209-3245
NPI enumeratedMarch 10, 2021
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address21 S 11th St, Philadelphia, PA 19107-4223

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