IndividualActive
Ajay Koleth
NPI 1477290484 · Nutrition Education Nutritionist · Elizabethton, TN
Provider details
- NPI number
- 1477290484
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
220 W Elk Ave
Elizabethton, TN 37643-2612
Registry dates
- Enumerated
- 2022-05-19
- Last updated
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.