Provider Demographics
NPI:1932793890
Name:RAYL, KARI K (FDN-P)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:K
Last Name:RAYL
Suffix:
Gender:F
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 HACKNEY WICK RD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-9790
Mailing Address - Country:US
Mailing Address - Phone:405-651-7342
Mailing Address - Fax:
Practice Address - Street 1:1227 N SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-1850
Practice Address - Country:US
Practice Address - Phone:405-651-7342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2019FDN-P133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education