Doctor Name: | KELLY M KEYES |
NPI Number: | 1811030844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DIETITIAN |
License Number: | 165 |
Business Practice Address: | 306 W 5th Nome, AK - 997620966 |
Business Phone Number: | 9074433207 |
Business Fax Number: | 9074432361 |
Mailing Address: | P O Box 174, NOME |
State: | AK |
Postal Code: | 997620966 |
Phone Number: | 9074433954 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |