Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENEVIEVE A KERANEN, CDE
ActiveNutrition, Education · PARK RAPIDS, MN
Registration Details
- NPI Number
- 1033156997
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2006 (19.928859973823 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R-054394-9 (MN)
Practice Information
- Address
-
705 PLEASANT AVE SPARK RAPIDS, MN, 564701440Browse MN providers · Browse ZIP 56470
- Phone
- 2187322800
- Fax
- 2187322857
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in PARK RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| TIA M KOCKA | CDE | 1710217179 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.