Individual
KASEY MADISON GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-2172
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-2172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2911
OK
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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