Individual
KRISTIN L KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
900 UNIVERSITY BLVD N, SUITE 606, JACKSONVILLE, FL 32211-9203
(904) 253-1170
Mailing address
3894 VALENCIA RD, JACKSONVILLE, FL 32205-9222
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5503
FL
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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