Most Relevant Information
Provider Data
| NPI Number: | 1003587734 |
| Provider Name: | REBECCA KUSCH MS, RDN, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/22/2021 |
| Last Updated: | 09/23/2021 |
Provider Practice Location
8200 CONSTANTIN BLVD FL 3
BATON ROUGE
LA
708093481
Practice Location Phone/Fax
| Phone: | 2257655500 |
| Fax: | 2253741698 |
Provider Mailing Location
5959 S SHERWOOD FOREST BLVD
BATON ROUGE
LA
708166038
Provider Mailing Phone/Fax
| Phone: | 2257655727 |
| Fax: | 2257659196 |