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Contact Information

KEILEY S JOHNSON, RD
2970 BRANDT DR S APT 214
FARGO, ND58104-9078
 Phone: 701-212-6207
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Sports Dietetics

133VN1501X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KEILEY S JOHNSON · (Female)

NPI # 1013781814
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 11/13/2023
Last updated 11/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 1245
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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