Individual
MARY ELIZABETH KEITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSD, LMNT
Contact information
Practice address
8111 DODGE ST STE 332, OMAHA, NE 68114-4119
(402) 354-8797
(402) 354-5651
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-8797
(402) 354-5651
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
93
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93
LICENSE
NE
Enumeration date
02/07/2007
Last updated
07/21/2022
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