Provider Demographics
NPI:1972200327
Name:KEIM, ALLISON (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:KEIM
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 1:91 STADIUM DRIVE
Mailing Address - Street 2:STALLINGS EVANS SPORTS MEDICAL CENTER
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516
Mailing Address - Country:US
Mailing Address - Phone:484-332-6512
Mailing Address - Fax:
Practice Address - Street 1:91 STADIUM DRIVE
Practice Address - Street 2:STALLINGS EVANS SPORTS MEDICAL CENTER
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516
Practice Address - Country:US
Practice Address - Phone:484-332-6512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA