Provider Demographics
NPI:1154038974
Name:MURPHY RIEPE, KEELIN (MS, RD)
Entity type:Individual
Prefix:
First Name:KEELIN
Middle Name:
Last Name:MURPHY RIEPE
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 E CAMELBACK RD UNIT 139
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2644
Mailing Address - Country:US
Mailing Address - Phone:480-282-1720
Mailing Address - Fax:
Practice Address - Street 1:3825 E CAMELBACK RD UNIT 139
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2644
Practice Address - Country:US
Practice Address - Phone:480-282-1720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ86172161133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered