Keywood, Amy

Keywood, Amy is an sole proprietor health care provider with primary practice located at 477 J W Dr , Mountain View AR 72560-4000. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Diabetes Educator. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Keywood, Amy can be contacted via phone (601) 573-9725.

Contact Information

Primary practice address
477 J W Dr Mountain View AR 72560-4000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 886083 Mississippi
Nursing Service Providers / Diabetes Educator 163WD0400X 135470 Kentucky

Profile Details

NPI number 1821025164
LBN Legal business name Keywood, Amy
Credentials RD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Apr 2nd, 2020 - about 5 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 1821025164 NPPES
Mississippi Other 710000337 RR MEDICARE

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