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Individual
AMY KEYWOOD
Active
Individual
AMY KEYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
886083
MS
163WD0400X
Diabetes Educator Registered Nurse
135470
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710000337
RR MEDICARE
MS
Enumeration date
06/26/2006
Last updated
04/02/2020
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