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

Kylie T Koller

Individual provider Registered Dietitian · NPI 1043190903

Kylie T Koller is a Registered Dietitian in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

167 S 79th St
Milwaukee, WI 53214-1414
Phone: (414) 477-0744
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 6008-29 (WI)

Record details

NPI number1043190903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 3, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address167 S 79th St, Milwaukee, WI 53214-1414

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