Keefer, Carolyn June

Keefer, Carolyn June is an sole proprietor health care provider with primary practice located at 7325 W Deschutes Ave Suite C, Kennewick WA 99336-6705. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Keefer, Carolyn June can be contacted via phone (509) 783-2273.

Contact Information

Primary practice address
7325 W Deschutes Ave Suite C Kennewick WA 99336-6705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI 00000152 Washington

Profile Details

NPI number 1467770602
LBN Legal business name Keefer, Carolyn June
Credentials RD, CD, CNSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2010
Last updated May 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467770602 NPPES
Washington MEDICAID 8462673

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