Doctor Name: | MRS. BRENDA KAYLAN GREEN |
NPI Number: | 1649674698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD/LD |
License Number: | 1703 |
Business Practice Address: | 600 Sw 150th St Oklahoma City, OK - 731707531 |
Business Phone Number: | 4054640586 |
Business Fax Number: | |
Mailing Address: | 600 Sw 150th St, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731707531 |
Phone Number: | 4054640586 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2014 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1703 |
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 |