NPI 1952806069 · live from the CMS NPI Registry
Jodi Lynn Keithley, RD, LD
Dietitian, Registered in Fe Warren Afb, WY. National Provider Identifier 1952806069, active.
NPI record
| NPI | 1952806069 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6900 Alden Dr, Fe Warren Afb, WY 82005 |
| Practice phone | 307-773-4292 |
| Enumerated | March 29, 2018 |
| Last updated | May 1, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 197 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.