Provider Demographics
NPI:1477116267
Name:KEELEY, SARAH W (MS RD LDN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:W
Last Name:KEELEY
Suffix:
Gender:F
Credentials:MS RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GREYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2338
Mailing Address - Country:US
Mailing Address - Phone:617-513-6170
Mailing Address - Fax:508-435-9068
Practice Address - Street 1:3 GREYSTONE LN
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748
Practice Address - Country:US
Practice Address - Phone:617-513-6170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered