Organization
NUTRITION MANAGEMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MICHELLE WARREN RD/LD (PRESIDENT)
(918) 630-7534
Entity
Organization
Contact information
Practice address
27761 E 61ST ST S, BROKEN ARROW, OK 74014-8515
(918) 630-7534
Mailing address
1216 E KENOSHA ST # 265, BROKEN ARROW, OK 74012-2007
(918) 630-7534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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