Organization
BOSWELL NUTRITION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA RAE BOSWELL MS, RD, LD (OWNER/DIETITIAN)
(405) 397-6999
Entity
Organization
Contact information
Practice address
400 NW 13TH ST, OKLAHOMA CITY, OK 73103-3711
(405) 397-6999
(405) 563-9066
Mailing address
13900 STERLINGTON, EDMOND, OK 73013-7031
(405) 397-6999
(405) 563-9066
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1778
OK
Other
Enumeration date
10/08/2011
Last updated
10/10/2011
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