Doctor Name: | SANDRA E KEELIN |
NPI Number: | 1649360165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | DT05789 |
Business Practice Address: | 7950 Martin Loop Fort Benning, GA - 319055647 |
Business Phone Number: | 7065444912 |
Business Fax Number: | 7065441377 |
Mailing Address: | 6035 Warm Springs Road, COLUMBUS |
State: | GA |
Postal Code: | 31909 |
Phone Number: | 7065444912 |
Fax Number: | 7065441377 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT05789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |