Individual
MRS. JENNIFER KELLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1600 ALBANY ST, BEECH GROVE, IN 46107-1541
(317) 851-3841
(317) 865-5083
Mailing address
7164 BRACKEN LN, INDIANAPOLIS, IN 46239-7838
(317) 851-3841
(317) 865-5083
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
37001254A
IN
Other
Enumeration date
05/02/2007
Last updated
10/29/2007
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