Individual
GENEVIEVE A KERANEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
R-054394-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24679
NDBS #
MN
Enumeration date
06/01/2006
Last updated
07/08/2007
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