Individual
MS. JODY J KEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1230 E RUSHOLME ST, SUITE 305, DAVENPORT, IA 52803-2452
(563) 421-3035
(563) 421-3039
Mailing address
1230 E RUSHOLME ST, SUITE 305, DAVENPORT, IA 52803-2452
(563) 421-3035
(563) 421-3039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01011
IA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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