Most Relevant Information
Provider Data
| NPI Number: | 1003454067 |
| Provider Name: | KALYN LEE KHALAF RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86062373 |
Most Important Dates
| Enumeration Date: | 12/20/2019 |
| Last Updated: | 12/20/2019 |
Provider Practice Location
15800 LANGLEY WAY
EDMOND
OK
730130001
Practice Location Phone/Fax
| Phone: | 4053611040 |
| Fax: |
Provider Mailing Location
15800 LANGLEY WAY
EDMOND
OK
730130001
Provider Mailing Phone/Fax
| Phone: | 4053611040 |
| Fax: |