Tracie Kennon Mathis in Tulsa - Dietitian, Registered
Tracie Kennon Mathis - NPI 1720267651
Tracie Kennon Mathis is a Dietitian, Registered in Tulsa, Oklahoma. Tracie Kennon Mathis practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Tracie Kennon Mathis is 1720267651. The last update date is 2022-01-26.
Tracie Kennon Mathis's current location address is 8710 S 71st East Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9184946455. The mailing address for Tracie Kennon Mathis is 8710 S 71st East Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracie Kennon Mathis |
|---|---|
| Address | 8710 S 71st East Ave, Tulsa, Oklahoma |
| Phone Number | 9184946455 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD/LD IBCL |
NPI Number Detail
| NPI Number | 1720267651 |
|---|---|
| Provider Enumeration Date | 2007-10-27 |
| Last Updated Date | 2022-01-26 |
Provider Mailing Address Detail
| Address | 8710 S 71st East Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741335053 |
| Phone Number | 9184946455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | LD932 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracie Kennon Mathis by the Centers for Medicare & Medicaid Services?
The Tracie Kennon Mathis has been assigned the NPI (National Provider Identifier) 1720267651. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tracie Kennon Mathis is physically located?
The Tracie Kennon Mathis is situated at the following address: 8710 S 71St East Ave, Tulsa, OK 741335053.
What is Tracie Kennon Mathis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracie Kennon Mathis's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.
On what date was the 1720267651 assigned to Tracie Kennon Mathis?
The Tracie Kennon Mathis was issued its 1720267651 on 2007-10-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tracie Kennon Mathis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tracie Kennon Mathis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-26.
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