| Randall Scott Keener, RDN | |
|
7715 Hickorywood Dr, Colorado Springs, CO 80920-6619 | |
| (406) 640-9976 | |
| Not Available |
| Full Name | Randall Scott Keener |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 7715 Hickorywood Dr, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568125854 | NPI | - | NPPES |
| 171449166 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 989269 (Colorado) | Secondary |
| 133V00000X | Dietitian, Registered | 989269 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Scott Keener, RDN 7715 Hickorywood Dr, Colorado Springs, CO 80920-6619 Ph: (406) 640-9976 | Randall Scott Keener, RDN 7715 Hickorywood Dr, Colorado Springs, CO 80920-6619 Ph: (406) 640-9976 |
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