Individual
KELLY LYNN CRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3601 OLD GEORGETOWNE RD, EDMOND, OK 73013-0807
(904) 613-3836
Mailing address
3601 OLD GEORGETOWNE RD, EDMOND, OK 73013-0807
(904) 613-3836
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
522
OK
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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