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Kelsi Haraway, RD, LD

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

NPI number1982102570
StatusActive
Last updated in NPPESOct 15, 2020

Details

NPI
1982102570
Entity type
Individual (NPI-1)
Name
Kelsi Haraway
Credential
RD, LD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 29, 2018
Certification date
Oct 15, 2020
Last updated
Oct 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

832 Gateway Bridge Rd
Edmond, OK 73034-1076

Phone 832-260-1041

Mailing address

832 Gateway Bridge Rd
Edmond, OK 73034-1076

Other practice locations

4801 Medical Center Drive
McKinney, TX 75069

Phone 469-714-0006

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