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

Kathryn Koller, RDLD

Individual provider Registered Dietitian · NPI 1942004585

Kathryn Koller, RDLD is a Registered Dietitian in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

412 S Scott Rd
Fort Wayne, IN 46814-9702
Phone: (260) 358-7180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37004107A (IN)

Record details

NPI number1942004585
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLD
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address260 Premier Ave Apt 101, Bluffton, IN 46714-0077

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