Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ETEMADIPOUR KOPPENAL, NBCHWC
Active Sole ProprietorHealth & Wellness Coach · GOODE, VA
Registration Details
- NPI Number
- 1841038858
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2024 (1.8055744487085 yrs)
- Last Updated
- Jul 16, 2024
- License
-
A-3650883
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 LONGHILL RDGOODE, VA, 245562209Browse VA providers · Browse ZIP 24556
- Phone
- 9738853709
- Primary Specialty
-
Health & Wellness Coach
171400000X
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- Health & Wellness Coach
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.