Individual
KRYSTAL BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 EVERETT DR, BNP 603, OKLAHOMA CITY, OK 73104-5047
(405) 271-5501
Mailing address
1200 EVERETT DR, BNP 603, OKLAHOMA CITY, OK 73104-5047
(405) 271-5501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NO4871
FL
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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