Individual
KATHERINE ANN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD, RD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1927
OK
174H00000X
Health Educator
21510373
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100732910-A
GROUP MEDICAID
OK
01
—
100732910-G
GROUP MEDICAID
OK
05
—
200555940-A
—
OK
01
—
73-1042545
GROUP MEDICARE
OK
01
—
731042545001
GROUP TRICARE
OK
Enumeration date
09/29/2014
Last updated
09/21/2015
Update your record
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