Healthcare Provider Details

I. General information

NPI: 1952687766
Provider Name (Legal Business Name): JANET MCKEE MS, RD, CSG, LD/N
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 LUCERNE TER
ORLANDO FL
32806-1013
US

IV. Provider business mailing address

918 LUCERNE TER
ORLANDO FL
32806-1013
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-1444
  • Fax:
Mailing address:
  • Phone: 407-894-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND1810
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: