| Doctor Name: | KRISTEN MARIE WOODRUFF |
| NPI Number: | 1497132690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 20100320793 |
| Business Practice Address: | 7600 S Highway 69a Miami, OK - 743541016 |
| Business Phone Number: | 9183324365 |
| Business Fax Number: | 9183324417 |
| Mailing Address: | 7600 S Highway 69a, Po Box 1498 MIAMI |
| State: | OK |
| Postal Code: | 743541016 |
| Phone Number: | 9183324365 |
| Fax Number: | 9183324417 |
| NPI Enumeration Date: | 04/27/2015 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 20100320793 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| 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 |