Provider Demographics
NPI:1932389632
Name:MEEK, DIANA K (RD/LD)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:K
Last Name:MEEK
Suffix:
Gender:F
Credentials:RD/LD
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:KAY
Other - Last Name:CONKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2326 GEORGETOWN DR
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-7525
Mailing Address - Country:US
Mailing Address - Phone:918-766-6649
Mailing Address - Fax:
Practice Address - Street 1:2326 GEORGETOWN DR
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-7525
Practice Address - Country:US
Practice Address - Phone:918-766-6649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1545133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKPENDINGMedicare UPIN