Individual
MACKENZIE KAITLYN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 755-1515
Mailing address
21969 TOSCANA CT, EDMOND, OK 73012-0919
(405) 888-9101
(405) 888-9101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
OK
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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