Whalio Doctors

NPI 1114311990

Keena Stephens, LPN

Practitioner Nutrition Education Nutritionist Atlanta, GA

Practice location

Address
211 Cove Pl, Atlanta, GA 30339-5207
Phone
(404) 913-7107

Registered specialties (2)

Nutrition Education Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence LPN082215 (GA)
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X Licence LPN082215 (GA)

Registry record

NPI
1114311990
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Mar 2015
Record last updated
19 Mar 2015

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.