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Individual
MRS. GINA ANGEL KEATLEY
Active
Individual
MRS. GINA ANGEL KEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, CDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
007594
NY
133V00000X
Registered Dietitian
Primary
007594
NY
133VN1005X
Renal Nutrition Registered Dietitian
007594
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
007594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000358830304
UNITED HEALTHCARE
—
01
—
003588303001
UNITED HEALTHCARE NY COMMUNITY
—
01
—
01901192
HEALTHPLUS AMERIGROUP
—
01
—
126DB3
BLUE CROSS BLUE SHIELD
—
01
—
2305722
CIGNA
—
01
—
3343362
GHI
—
01
—
9388910
AETNA
—
01
—
NU007594-B85
HEALTHFIRST
NY
01
—
P4751979
OXFORD
—
01
—
PH56000
ELDERPLAN
—
01
—
SEIU147289
1199SEIU
—
Enumeration date
10/20/2012
Last updated
07/10/2020
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