Individual
MRS. CASEY ELIZABETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1200 N PHILLIPS AVE, OKLAHOMA CITY, OK 73104-4600
(405) 271-4206
Mailing address
17132 SUNNY HOLLOW RD, EDMOND, OK 73012-6761
(402) 202-8111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1735
OK
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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