Doctor Name: | MRS. KELLY STOVER BEALS |
NPI Number: | 1013017003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D./ L.D. |
License Number: | 1076 |
Business Practice Address: | 921 Ne 13th St Oklahoma City, OK - 731045007 |
Business Phone Number: | 4052700501 |
Business Fax Number: | |
Mailing Address: | 3220 Rockhampton Ave, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731791223 |
Phone Number: | 4052700501 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |