Individual
MRS. KATELYN ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
808 24TH AVE NW, NORMAN, OK 73069-6204
(405) 801-2323
Mailing address
609 HAWAII ST, JONES, OK 73049-7538
(405) 905-0553
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2868
OK
133V00000X
Registered Dietitian
861
OK
Other
Enumeration date
06/19/2023
Last updated
11/25/2023
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