Individual
KERRI WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
11101 AUTUMN RD, EDMOND, OK 73013-8377
(405) 698-8362
Mailing address
11101 AUTUMN RD, EDMOND, OK 73013-8377
(405) 698-8362
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1036
OK
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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