Individual
KEIGHLY COLANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
15720 ROCKFORD RD APT 104, PLYMOUTH, MN 55446-4216
(612) 845-0101
Mailing address
15720 ROCKFORD RD APT 104, PLYMOUTH, MN 55446-4216
(612) 845-0101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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