Individual
RANDALL SCOTT KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
7715 HICKORYWOOD DR, COLORADO SPRINGS, CO 80920-6619
(406) 640-9976
Mailing address
7715 HICKORYWOOD DR, COLORADO SPRINGS, CO 80920-6619
(406) 640-9976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
989269
CO
133V00000X
Registered Dietitian
Primary
989269
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171449166
—
CO
Enumeration date
10/14/2021
Last updated
10/14/2021
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