NPI 1013781814

Keiley Shae Johnson, RD

Practitioner Gerontological Nutrition Registered Dietitian Fargo, ND

Practice location

Address: 2970 Brandt Dr S APT 214, Fargo, ND 58104-9078
Phone: (701) 212-6207

Registered specialties (2)

Gerontological Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1101X Licence 1245 (ND)

Other Dietitian, Registered providers in North Dakota →

Sports Dietetics Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1501X Licence 1245 (ND)

Registry record

NPI: 1013781814
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2023
Record last updated: 13 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.