NPI 1023693405

Madison Marie Keller, MSRDN

Practitioner Registered Dietitian Kuna, ID

Practice location

Address: 974 S Rangipo Ave, Kuna, ID 83634-5569
Phone: (775) 309-7158

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1023693405
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2021
Record last updated: 16 Mar 2021

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.