Individual
CHRISTINE M KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
41 CHURCH ST, WESTFIELD, MA 01085-2805
(413) 562-8200
Mailing address
41 CHURCH ST, WESTFIELD, MA 01085-2805
(413) 562-8200
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1169
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD0070
BLUECROSSBLUESHIELD
MA
Enumeration date
01/26/2007
Last updated
07/08/2007
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