| Doctor Name: | MRS. DIANE MARIE MINNIS |
| NPI Number: | 1881921310 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD/LD |
| License Number: | 998 |
| Business Practice Address: | 1000 Kingfisher Regional Hospital Dr Kingfisher, OK - 73750 |
| Business Phone Number: | 4053757962 |
| Business Fax Number: | 4053757998 |
| Mailing Address: | 835 Clark Dr, KINGFISHER |
| State: | OK |
| Postal Code: | 737503815 |
| Phone Number: | 4053757962 |
| Fax Number: | 4053757998 |
| NPI Enumeration Date: | 11/04/2009 |
| NPI Last Update Date: | 11/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 998 |
| 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 |