Individual
MS. BEVERLY KAY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
1717B S UTICA AVE, SUITE 205, TULSA, OK 74104-5333
(918) 744-2273
(918) 744-2483
Mailing address
1717B S UTICA AVE, SUITE 205, TULSA, OK 74104-5333
(918) 744-2273
(918) 744-2483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD472
OK
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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