Jennifer Keller Smith in Indianapolis - Nutrition, Pediatric
Jennifer Keller Smith - NPI 1770705899
Jennifer Keller Smith is a Nutrition, Pediatric in Indianapolis, Indiana. Jennifer Keller Smith practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Jennifer Keller Smith is 1770705899. The last update date is 2007-10-29.
Jennifer Keller Smith's current location address is 7164 Bracken Ln, Indianapolis, Indiana. You can contact this provider via phone number 3178513841 and fax number 3178655083. The mailing address for Jennifer Keller Smith is 7164 Bracken Ln, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Keller Smith |
|---|---|
| Address | 7164 Bracken Ln, Indianapolis, Indiana |
| Phone Number | 3178513841 |
| Fax Number | 3178655083 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1770705899 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 7164 Bracken Ln |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462397838 |
| Phone Number | 3178513841 |
| Fax Number | 3178655083 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 37001254A |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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What is the Jennifer Keller Smith's 1770705899?
The Jennifer Keller Smith's NPI (National Provider Identifier) Number is 1770705899. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jennifer Keller Smith located?
The Jennifer Keller Smith is located at 7164 Bracken Ln, Indianapolis, IN 462397838.
What is Jennifer Keller Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Keller Smith is Nutrition, Pediatric, and the taxonomy code that categorizes this field of expertise is 133Vn1004X.
On what date did the Jennifer Keller Smith receive the assignment of its 1770705899 from the Centers for Medicare & Medicaid Services?
The Jennifer Keller Smith was issued its 1770705899 by the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date was the information regarding Jennifer Keller Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Keller Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-29.