Individual
SHANNON MARIE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
942 E BROADMOR DR, TEMPE, AZ 85282-2414
(815) 351-4643
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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