Provider Demographics
NPI:1083213391
Name:THE KEYS TO NUTRITION, LLC
Entity Type:Organization
Organization Name:THE KEYS TO NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:DORCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDCES
Authorized Official - Phone:305-394-1204
Mailing Address - Street 1:109 OCEAN SHORES DR
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-4224
Mailing Address - Country:US
Mailing Address - Phone:305-394-1204
Mailing Address - Fax:
Practice Address - Street 1:109 OCEAN SHORES DR
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4224
Practice Address - Country:US
Practice Address - Phone:305-394-1204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty