Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HELEN BAILEY KOCH, RD, CSP, LD
ActivePediatric Nutrition · WOODSTOCK, GA
Registration Details
- NPI Number
- 1447462411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2007 (18.967040833186 yrs)
- Last Updated
- Jul 24, 2022
- Licenses
-
LD002614 (GA)LD002614 (GA)
Practice Information
- Address
-
140 ROCKY CREEK TRLWOODSTOCK, GA, 301886246Browse GA providers · Browse ZIP 30188
- Phone
- 4045433897
- Fax
- 4047450808
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.