IndividualActive
Keiley Johnson, RD
NPI 1013781814 · Gerontological Nutrition Registered Dietitian · Fargo, ND
Provider details
- NPI number
- 1013781814
- Entity type
- Individual
- Primary specialty
- Gerontological Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1245 (ND)
Mailing address
2970 Brandt Dr S Apt 214
Fargo, ND 58104-9078
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.