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Organization

KEENER NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROANNA KEENER MS, RDN, LDN (OWNER, REGISTERED DIETITIAN)
(717) 256-1148
Entity
Organization

Contact information

Practice address
626 SOUTH MARKET STREET, ELIZABETHTOWN, PA 17022
(717) 256-1148
Mailing address
383 FOREMAN RD, ELIZABETHTOWN, PA 17022-9757

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN005170
STATE LICENSE
PA
Enumeration date
07/03/2023
Last updated
07/03/2023
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