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Contact Information

KELLY L CRUNK, RD
3601 OLD GEORGETOWNE RD
EDMOND, OK73013-0807
 Phone: 904-613-3836
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KELLY L CRUNK · (Female)

NPI Number 1174469340
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 04/28/2026
Last updated 04/28/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 522
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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