| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GINA MARIE KEENAN | 1275927915 | 2024-09-08 |
Gina Marie Keenan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275927915. Registration indicates Gina Marie Keenan is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Gina Marie Keenan RDN |
| Practice Office Address | 7575 E EARLL DR SCOTTSDALE, AZ US |
| Practice Office Telephone | 4804487500 |
| Mailing Address | 14015 N 94TH ST APT 2042 SCOTTSDALE, AZ 852603730 US |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers |