Provider Demographics
NPI:1942654975
Name:MORRIS, KRISTEN (RD, LD)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 W MAIN ST
Mailing Address - Street 2:SUITE AA
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4657
Mailing Address - Country:US
Mailing Address - Phone:972-765-0300
Mailing Address - Fax:405-217-3985
Practice Address - Street 1:3750 W MAIN ST
Practice Address - Street 2:SUITE AA
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4657
Practice Address - Country:US
Practice Address - Phone:972-765-0300
Practice Address - Fax:405-217-3985
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1954133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered