Kristen Keenan, is a
Dietitian, Registered based in Azle, Texas. Kristen Keenan is licensed to practice in Texas (license number DT86160) and her current practice location is
111 Eagle Pointe N, Azle, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 426-4585.
NPI number for Kristen Keenan is 1467279570 and her current mailing address is 5900 Balcones Dr Ste 100, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467279570.
Healthcare Provider's Profile
| Full Name | Kristen Keenan |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
|---|
| Location | 111 Eagle Pointe N, Azle, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467279570
- Provider Enumeration Date: 09/21/2024
- Last Update Date: 09/21/2024
Medical Identifiers
Medical identifiers for Kristen Keenan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467279570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT86160 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Keenan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristen Keenan,
5900 Balcones Dr Ste 100,
Austin, TX 78731-4298
Ph: Not Available | Kristen Keenan,
111 Eagle Pointe N,
Azle, TX 76020-5498
Ph: (469) 426-4585 |
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