Individual
MS. KIMBERLY DAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1225 W MAIN ST, SUITE 102, NORMAN, OK 73069-6824
(405) 292-1000
Mailing address
1225 W MAIN ST, SUITE 102, NORMAN, OK 73069-6824
(405) 292-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD1096
OK
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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