Individual
KATHERINE ANN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD, RD, CDE
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
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
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