Individual
MR. KELLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D., L.D.
Contact information
Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 222-9587
Mailing address
1370 N INTERSTATE DR, SUITE 154, NORMAN, OK 73072-3376
(405) 224-8111
(405) 222-9587
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD692
OK
Other
Enumeration date
03/15/2007
Last updated
08/11/2016
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