Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER KELLER SMITH, RD
ActivePediatric Nutrition · BEECH GROVE, IN
Registration Details
- NPI Number
- 1770705899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (18.972526780332 yrs)
- Last Updated
- Oct 29, 2007
- License
-
37001254A (IN)
Practice Information
- Address
-
1600 ALBANY STBEECH GROVE, IN, 461071541Browse IN providers · Browse ZIP 46107
- Phone
- 3178513841
- Fax
- 3178655083
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.