Individual
SUSAN L. KEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
2273 EBERT LN, WENTZVILLE, MO 63385-4606
(636) 332-2273
Mailing address
2273 EBERT LN, WENTZVILLE, MO 63385-4606
(636) 332-2273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001002872
MO
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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