Individual
MRS. JULIE KATHERINE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CDE
Contact information
Practice address
111 BEVER GRADE, LAPWAI, ID 83540
(208) 843-2271
(208) 843-9406
Mailing address
2415 LINDA LN, CLARKSTON, WA 99403-1256
(509) 758-1741
(208) 843-9406
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
D-265
ID
Other
Enumeration date
08/09/2006
Last updated
07/28/2010
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