Kelly Etemadipour Koppenal, NBCHWC
Kelly Etemadipour Koppenal, NBCHWC is a Nutritionist in Goode, Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
203 Longhill RdGoode, VA 24556-2209
Phone: (973) 885-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health & Wellness Coach (primary) | Taxonomy 171400000X · Licence A-3650883 |
|---|---|
| Nutritionist | Taxonomy 133N00000X |
| Nutrition Education Nutritionist | Taxonomy 133NN1002X |
Record details
| NPI number | 1841038858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NBCHWC |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2024 |
| Last updated in NPPES | July 16, 2024 |
| Certification date | July 16, 2024 |