Healthcare Provider Details

I. General information

NPI: 1841082302
Provider Name (Legal Business Name): KAITLYN NICOLE REED MA, RD/LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10914 HEFNER POINTE DR STE 304
OKLAHOMA CITY OK
73120-5068
US

IV. Provider business mailing address

604 N DIVISION ST
GUTHRIE OK
73044-3210
US

V. Phone/Fax

Practice location:
  • Phone: 405-755-7561
  • Fax:
Mailing address:
  • Phone: 405-535-7679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2918
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: