Individual
KATHERYN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD/LD
Contact information
Practice address
825 NE 10TH ST, OKLAHOMA CITY, OK 73104-5417
(405) 271-2222
Mailing address
2109 MARSHALL DR, EDMOND, OK 73013-4429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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