| Mr Kelly Miller, RD, LD | |
|
2222 W Iowa Ave, Chickasha, OK 73018-2738 | |
| (405) 224-8111 | |
| (405) 222-9587 |
| Full Name | Mr Kelly Miller |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 2222 W Iowa Ave, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447384086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD692 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kelly Miller, RD, LD 1370 N Interstate Dr, Suite 154, Norman, OK 73072-3376 Ph: (405) 224-8111 | Mr Kelly Miller, RD, LD 2222 W Iowa Ave, Chickasha, OK 73018-2738 Ph: (405) 224-8111 |
Mrs. Kamela Lyniece Ratcliff, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1428 W Kansas Ave, Chickasha, OK 73018 Phone: 405-224-9443 Fax: 405-224-1190 | |
Ms. Cynthia D. Wilcox, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2220 W Iowa Ave, Chickasha, OK 73018 Phone: 405-779-2101 Fax: 405-222-0573 | |
Ms. Tara Diane Conway, MS, RDLD Dietitian Medicare: Medicare Enrolled Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9561 |