Keophouvien Rolon, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

876154 Issued in IL

Practice address

601 John St Ste W-308
Kalamazoo, MI 49007-5357

Phone

(269) 341-6860

Fax

(269) 341-7187

NPI assigned

Apr 17, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Keo Rolon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1700406022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE MC27",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-6860",
            "fax_number": "269-341-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE W-308",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075357",
            "telephone_number": "269-341-6860",
            "fax_number": "269-341-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON",
        "first_name": "KEOPHOUVIEN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "876154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEO",
            "last_name": "ROLON",
            "credential": "MBA, CDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Justin Rohr, NP-C
• Thomas Joseph Rohs Jr., MD
• Maria Valentina Rojas-Mendoza
• Kennedy Rolfes, MD
• Beth A Rolfsen, MS, OTR
• Christine Lynn Romack, FNP-C
• Oreste Romeo, MD
• Deborah A Romig, P.T.
• Ronald L Vanderlugt MD
• Ronald M. Crafton, PC

• Registered Dietitian in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.