Individual
MRS. KELLEIGH WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, R.D./L.D.
Contact information
Practice address
809 GRICKLE DR, NORMAN, OK 73069-7575
(405) 514-7742
Mailing address
809 GRICKLE DR, NORMAN, OK 73069-7575
(405) 514-7742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1458
OK
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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