Individual
MS. KELLI MARIE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
(580) 286-1087
Mailing address
705 SE INDIAN RD, IDABEL, OK 74745-6439
(580) 208-3838
(580) 286-1087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1452
OK
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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