Keith, Bethany Lynn

Keith, Bethany Lynn is an individual health care provider with primary practice located at 850 Dogwood Rd Ste B2002319 , Lawrenceville GA 30044-7218. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Keith, Bethany Lynn can be contacted via phone (770) 284-0518.

Contact Information

Primary practice address
850 Dogwood Rd Ste B2002319 Lawrenceville GA 30044-7218
Phone: (770) 284-0518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD005127 Georgia

Profile Details

NPI number 1972105070
LBN Legal business name Keith, Bethany Lynn
Credentials MS, RDN, LD, CNSC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2020
Last updated Sep 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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