Individual
KAYLA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
STEPHENSON CANCER CENTER, 800 NE 10TH STREET, OKLAHOMA CITY, OK 73104
(405) 271-7559
(405) 271-1360
Mailing address
2200 CASTLE ROCK, EDMOND, OK 73003-4775
(405) 659-5543
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
550
OK
133VN1301X
Oncology Nutrition Registered Dietitian
550
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550
STATE OF OKLAHOMA LISCESURE
—
Enumeration date
03/31/2020
Last updated
03/31/2020
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