Individual
NANCY LEE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
4580 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1810
(314) 842-1300
Mailing address
16007 NANTUCKET ISLAND DR, GROVER, MO 63040-1558
(314) 757-6745
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001015389
MO
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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