Provider Demographics
NPI:1992367817
Name:KARA WESTRUP NUTRITION LLC
Entity Type:Organization
Organization Name:KARA WESTRUP NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:WESTRUP
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:405-317-8963
Mailing Address - Street 1:3417 CRAMPTON GAP WAY
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6982
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3417 CRAMPTON GAP WAY
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6982
Practice Address - Country:US
Practice Address - Phone:405-317-8963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty