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

Kelly J Coughlin

Individual provider Registered Dietitian · NPI 1124018676

Kelly J Coughlin is a Registered Dietitian in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

3960 Coon Rapids Blvd NW Ste 220
Coon Rapids, MN 55433-2589
Phone: (763) 236-8438
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1578 (MN)

Record details

NPI number1124018676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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