Individual
MRS. KERI DELEIGH HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
700 S TELEPHONE RD, MOORE, OK 73160-2502
(405) 912-3471
Mailing address
1031 NE 10TH ST, MOORE, OK 73160-6840
(405) 209-2509
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1048
OK
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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