Jodi Lynn Keithley, RD, LD is a
Dietitian, Registered based in Fe Warren Afb, Wyoming. Jodi Lynn Keithley is licensed to practice in Wyoming (license number 197) and her current practice location is
6900 Alden Dr, Fe Warren Afb, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 773-4292.
NPI number for Jodi Lynn Keithley is 1952806069 and her current mailing address is 6900 Alden Dr, Fe Warren Afb, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952806069.
Healthcare Provider's Profile
Full Name | Jodi Lynn Keithley |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 6900 Alden Dr, Fe Warren Afb, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952806069
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 05/01/2018
Medical Identifiers
Medical identifiers for Jodi Lynn Keithley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952806069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 197 (Wyoming) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jodi Lynn Keithley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jodi Lynn Keithley, RD, LD 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 Ph: () - | Jodi Lynn Keithley, RD, LD 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 Ph: (307) 773-4292 |
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