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NPI Code Detail

MEDICARE: COLLEEN BARNETT RD

MEDICARE: COLLEEN BARNETT RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian2333OK

General Provider Information

NPI Number : 1659916336
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN BARNETT RD
Provider Business Mailing Address
First Line : 9017 N UNIVERSITY AVE APT 8102
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-4353
Country : US
Telephone Number : 847-791-6086
Fax Number :
Provider Business Practice Location Address
First Line : 9700 MASHBURN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-5509
Country : US
Telephone Number : 405-721-2466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2019
Last Update Date : 11/17/2019

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Directions to “ COLLEEN BARNETT RD” Practice Location

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