Individual
KEELEY DANIELLE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
Mailing address
643 EMERSON RD, BROKEN BOW, OK 74728-6406
(580) 236-9567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3330
OK
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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