Jenness Marie Keller in Santa Rosa - Dietitian, Registered

Jenness Marie Keller - NPI 1407889645

Jenness Marie Keller is a Dietitian, Registered in Santa Rosa, California. Jenness Marie Keller practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jenness Marie Keller is 1407889645. The last update date is 2007-07-08.

Jenness Marie Keller's current location address is 3315 Chanate Rd, Santa Rosa, California. You can contact this provider via phone number 7075703855 and fax number 7075703850. The mailing address for Jenness Marie Keller is 3315 Chanate Rd, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenness Marie Keller
Address 3315 Chanate Rd, Santa Rosa, California
Phone Number 7075703855
Fax Number 7075703850
Sole Proprietor N
Credentials MPH, RD

NPI Number Detail

NPI Number 1407889645
Provider Enumeration Date 2006-07-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3315 Chanate Rd
City Santa Rosa
State California (CA)
Post Code 954041736
Phone Number 7075703855
Fax Number 7075703850

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 802441
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Jenness Marie Keller

What is the unique identification code assigned to Jenness Marie Keller by the Centers for Medicare & Medicaid Services?

The Jenness Marie Keller has been issued the NPI (National Provider Identifier) 1407889645. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jenness Marie Keller is physically located?

The Jenness Marie Keller is situated at the following address: 3315 Chanate Rd, Santa Rosa, CA 954041736.

What is Jenness Marie Keller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jenness Marie Keller's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407889645 to Jenness Marie Keller?

The Centers for Medicare & Medicaid Services originally issued the 1407889645 to Jenness Marie Keller on 2006-07-09.

When was the information related to Jenness Marie Keller most recently updated or refreshed?

The details pertaining to the Jenness Marie Keller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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