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

Ajay Philip Koleth

Individual provider Nutrition Education Nutritionist · NPI 1477290484

Ajay Philip Koleth is a Nutrition Education Nutritionist in Elizabethton, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

220 W Elk Ave
Elizabethton, TN 37643-2612
Phone: (423) 561-1623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 Timothy Rd, Hilham, TN 38568-6401 — (423) 561-1623

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X (TN)

Record details

NPI number1477290484
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing address220 W Elk Ave, Elizabethton, TN 37643-2612