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Katheryn Fuller, PhD, RD/LD

Dietitian, Registered in Oklahoma City, OK. Individual provider (NPI-1).

NPI number1437802402
StatusActive
Last updated in NPPESJan 31, 2022

Details

NPI
1437802402
Entity type
Individual (NPI-1)
Name
Katheryn Fuller
Credential
PhD, RD/LD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2022
Certification date
Jan 31, 2022
Last updated
Jan 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

825 Ne 10th St
Oklahoma City, OK 73104-5417

Phone 405-271-2222

Mailing address

2109 Marshall Dr
Edmond, OK 73013-4429

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