| Doctor Name: | MS. DEBBIE FAYE KEETER - MOORE |
| NPI Number: | 1316127335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS. RD/LD.CDE |
| License Number: | 676 |
| Business Practice Address: | 1900 N 14th St Ponca City, OK - 746012035 |
| Business Phone Number: | 5807650269 |
| Business Fax Number: | 5807182904 |
| Mailing Address: | 703 Holmes Ave, CUSHING |
| State: | OK |
| Postal Code: | 740234703 |
| Phone Number: | 9183993593 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2007 |
| NPI Last Update Date: | 06/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 676 |
| 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 |