Provider Demographics
NPI:1992447486
Name:KEITH INVESTMENTS LLC
Entity type:Organization
Organization Name:KEITH INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KEITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LD, CNSC
Authorized Official - Phone:770-284-0518
Mailing Address - Street 1:850 DOGWOOD RD STE B2002319
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7218
Mailing Address - Country:US
Mailing Address - Phone:770-284-0518
Mailing Address - Fax:
Practice Address - Street 1:850 DOGWOOD RD STE B2002319
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7218
Practice Address - Country:US
Practice Address - Phone:770-284-0518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Single Specialty