Individual
KATY MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD/LD
Contact information
Practice address
1200 CHILDRENS AVE RM BNP 501, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Mailing address
1200 CHILDRENS AVE RM BNP 501, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
L2555
OK
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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