Individual
KATIE MARIE RUHANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1265 S. UTICA AVE, SUITE 100 S., TULSA, OK 74104-4090
(918) 579-3384
Mailing address
1265 S UTICA AVE, SUITE 100 S., TULSA, OK 74104-4243
(918) 579-3384
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KR982323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C16002
MEDICARE GROUP
MI
01
—
982323
REGISTERED DIETICIAN CERTIFICATE
—
Enumeration date
04/24/2008
Last updated
03/07/2013
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