Individual
MRS. KATIE MARIE KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/LD
Contact information
Practice address
1200 CHILDRENS AVE, 5TH FLOOR, SUITE 5F, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1851
OK
Other
Enumeration date
02/04/2013
Last updated
08/29/2016
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