| Doctor Name: | MRS. SUSAN KAY PACIFIC |
| NPI Number: | 1609090372 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,LD |
| License Number: | 958 |
| Business Practice Address: | 3400 W Tecumseh Rd Ste 206 Norman, OK - 730721810 |
| Business Phone Number: | 4053075731 |
| Business Fax Number: | 4053073719 |
| Mailing Address: | Po Box 1330, NORMAN |
| State: | OK |
| Postal Code: | 730701330 |
| Phone Number: | 4053076630 |
| Fax Number: | 4053076660 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 02/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 958 |
| 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 |