KAELY JACKSON

OKLAHOMA CITY, OK
NPI1477943652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1961)
Enumeration Date2015-01-27
Last Update Date2015-01-27
Business Address
-- KAELY JACKSON RD/LD
1200 CHILDRENS AVE SUITE 1A
OKLAHOMA CITY, OK 73104-4637
Phone number: 405-271-5400
Mailing Address
-- KAELY JACKSON RD/LD
1200 CHILDRENS AVE SUITE 1A
OKLAHOMA CITY, OK 73104-4637
Phone number: 405-271-5400