Individual
KELI M SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4600 MERCY LN, SPRINGDALE, AR 72762-3070
(479) 347-3721
(479) 338-4629
Mailing address
204 ZION CHURCH ST, LOWELL, AR 72745-9688
(845) 532-0065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2641
AR
133V00000X
Registered Dietitian
Primary
86211365
—
Other
Enumeration date
10/11/2022
Last updated
09/18/2024
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