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General NPI Number Information
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NPI Number | 1811342108
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Entity Type | Individual
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Provider Name | M. KATHRYN KEOGH MS, RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1014 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45202-1141
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Country | US
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Telephone | 855-699-6937
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Fax | 800-546-2104
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Provider Business Mailing Address
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Address Line | PO BOX 830242
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0242
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L006004
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 3099
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD005468
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2446
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2009
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN-0011113
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License Number State | DE
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Taxonomy #7
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | LD.7274
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | LD.7274
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | LD.7274
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD.7274
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License Number State | OH
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