IndividualActive
Jacqueline Keller, MS, RD, CSP, CNSC
NPI 1205267705 · Pediatric Nutrition Registered Dietitian · San Diego, CA
Provider details
- NPI number
- 1205267705
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSP, CNSC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (619) 543-3133
Approximate (ZIP-level) locationGet directions
Mailing address
200 W Arbor Dr
San Diego, CA 92103-9000
Registry dates
- Enumerated
- 2013-12-09
- Last updated
- 2014-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.