| Doctor Name: | MS. NANCY KEETCH |
| NPI Number: | 1326313909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD |
| License Number: | 10828 |
| Business Practice Address: | 100 Medical Plz Suite 1203 Lake Saint Louis, MO - 633671366 |
| Business Phone Number: | 6366255424 |
| Business Fax Number: | |
| Mailing Address: | 100 Medical Plz, LAKE ST LOUIS |
| State: | MO |
| Postal Code: | 633671366 |
| Phone Number: | 6366255424 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2012 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | 10828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |