Organization
KEATLEY MNT
Active
Parent organization
GINA KEATLEY, CDN
Organization subpart
Yes
Provider details
NPI number
Legal business name
GINA KEATLEY, CDN
Authorized official
MRS. GINA A KEATLEY CDN (OWNER)
(800) 571-8276
Entity
Organization
Contact information
Practice address
596 BROADWAY STE 302, NEW YORK, NY 10012-3396
(800) 571-8276
(888) 974-0289
Mailing address
173 HOPKINS ST APT 3L, BROOKLYN, NY 11206-5021
(800) 571-8276
(888) 974-0289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/10/2017
Last updated
07/10/2020
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