Individual
KILEY KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
112 BROOKLINE BLVD, HAVERTOWN, PA 19083-3804
(610) 393-6880
Mailing address
112 BROOKLINE BLVD, HAVERTOWN, PA 19083-3804
(610) 393-6880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008629
PA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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