Individual
KATHERINE BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, PLD
Contact information
Practice address
6465 S YALE AVE STE 420, TULSA, OK 74136-7806
(918) 502-1700
(918) 502-1715
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2764
OK
Other
Enumeration date
09/06/2022
Last updated
01/24/2024
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