Nancy Keetch, RD, LD
Individual provider Active NPI Metabolic Nutrition Registered Dietitian · Lake Saint Louis, MO
NPI 1326313909 · NPPES record last updated May 6, 2013
Key facts
- NPI
- 1326313909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian 133VN1006X
- License
- 10828 (MO)
- Practice address
- 100 Medical PLZ
Suite 1203
Lake Saint Louis, MO 63367-1366 - Phone
- (636) 625-5424
- NPI assigned
- Mar 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10828 | MO | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 10828 | MO | Yes |
Addresses
Primary practice location
100 Medical PLZ
Suite 1203
Lake Saint Louis, MO 63367-1366
Mailing address
100 Medical PLZ
Lake St Louis, MO 63367-1366
Phone (636) 625-5424
Other providers in Lake Saint Louis, MO
- John Deangelis LLC
- Braden Johnson
- Casey O'Donnell Jones
- Jessica Ann Kalinowsky
- Caitlin O'Connor Kasberg
- Cherie Lanham Kimbrough
- Veronica Muthoni Kimemia
- James Matthew Kirks
- Alexis Knisley
- Jeffrey James Labranche
All providers in Lake Saint Louis, MO · Metabolic Nutrition Registered Dietitian in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.