Doctor Name: | MS. JODY J KEALEY |
NPI Number: | 1194957449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | 01011 |
Business Practice Address: | 1230 E Rusholme St Suite 305 Davenport, IA - 528032452 |
Business Phone Number: | 5634213035 |
Business Fax Number: | 5634213039 |
Mailing Address: | 1230 E Rusholme St, Suite 305 DAVENPORT |
State: | IA |
Postal Code: | 528032452 |
Phone Number: | 5634213035 |
Fax Number: | 5634213039 |
NPI Enumeration Date: | 08/20/2009 |
NPI Last Update Date: | 08/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 01011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |