| Kelly S. Beals, Inc. | |
|
3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 | |
| (405) 795-8535 | |
| Not Available |
| Full Name | Kelly S. Beals, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3220 Rockhampton Ave, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588828826 | NPI | - | NPPES |
| 200089850A | Medicaid | OK | |
| 1013017003 | Other | OK | INDIVIDUAL NPI (PRIOR TO FORMING CORPORATION) |
| 863540 | Other | OK | REGISTERED DIETITIAN |
| 1076 | Other | OK | LICENSED DIETITIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1076 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly S. Beals, Inc. 3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 Ph: (405) 795-8535 | Kelly S. Beals, Inc. 3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 Ph: (405) 795-8535 |
Rebekah Lea Maxwell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1695 | |
Mrs. Lisha M Smathers, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9353 Sw 21st St, Oklahoma City, OK 73128 Phone: 405-627-5650 | |
Kelsey Duncan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3433 Nw 56th St, #970, Oklahoma City, OK 73112 Phone: 405-951-2131 Fax: 405-951-2135 | |
Michelle Tillinger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-853-0128 | |
Olivia B Riggs, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 N Oklahoma Ave Apt 1317, Oklahoma City, OK 73104 Phone: 918-949-8339 | |
Holly Michelle Mistler, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3758 Fax: 405-936-5288 | |
Mr. Anthony Ray Perry, R.D., L.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-270-0501 |