Individual
MEGAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 742-5801
Mailing address
3602 N WASHINGTON ST APT C39, STILLWATER, OK 74075-1324
(816) 885-0153
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2390
OK
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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