Provider Demographics
NPI:1609604362
Name:KEYSER, MIKAYLA ROSE (RD, LDN)
Entity type:Individual
Prefix:MISS
First Name:MIKAYLA
Middle Name:ROSE
Last Name:KEYSER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 RUTH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-2066
Mailing Address - Country:US
Mailing Address - Phone:724-815-8749
Mailing Address - Fax:
Practice Address - Street 1:70 RUTH ST APT 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-2066
Practice Address - Country:US
Practice Address - Phone:724-815-8749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered