Doctor Name: | MARY ELIZABETH KEITAL |
NPI Number: | 1700926979 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CNSD, LMNT |
License Number: | 93 |
Business Practice Address: | 8303 Dodge St Omaha, NE - 681144108 |
Business Phone Number: | 4023544169 |
Business Fax Number: | |
Mailing Address: | 9418 Mockingbird Dr, OMAHA |
State: | NE |
Postal Code: | 681272422 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 93 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |