| NPI | 1992447486 |
|---|---|
| Doing Business As | CKD DIETITIAN |
| Entity Type | Organization |
| Authorized Contact | BETHANY LYNN KEITH Owner 770-284-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |