Individual
KRISTEN MARIE WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
7600 S HIGHWAY 69A, MIAMI, OK 74354-1016
(918) 332-4365
(918) 332-4417
Mailing address
7600 S HIGHWAY 69A, PO BOX 1498, MIAMI, OK 74354-1016
(918) 332-4365
(918) 332-4417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1802
OK
133V00000X
Registered Dietitian
1821
KS
133V00000X
Registered Dietitian
20100320793
MO
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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