Individual
MRS. KELLI L SCHENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
200 W 7TH ST, HENNESSEY, OK 73742-1711
(405) 853-4671
(405) 853-4671
Mailing address
200 W 7TH ST, HENNESSEY, OK 73742-1711
(405) 853-4671
(405) 853-4671
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1188
OK
Other
Enumeration date
08/30/2006
Last updated
07/09/2007
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