Individual
KELLY S SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4525 S KLEIN AVE, SUITE 1000, OKLAHOMA CITY, OK 73109-3845
(405) 749-8986
Mailing address
1540 N SANTA FE AVE, MOORE, OK 73160-1431
(405) 443-8833
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1391
OK
Other
Enumeration date
04/07/2006
Last updated
09/19/2007
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