Individual
HEATHER DAWN SMITH-KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETITIAN
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7102
Mailing address
2321 NW 54TH ST, OKLAHOMA CITY, OK 73112-7756
(405) 412-6621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1538
OK
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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