Individual
NICOLE TERESE KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WALTER REED ARMY MEDICAL CENTER, 6900 GEORGIA AVE, WASHINGTON, DC 20307-0001
(202) 782-4211
Mailing address
10326 GRENDEL CT, MECHANICSVILLE, VA 23116-5833
(804) 550-7839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1084
TN
Other
Enumeration date
01/27/2008
Last updated
01/27/2008
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