Kalyn Lee Khalaf, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86062373 Issued in OK

Practice address

15800 Langley Way
Edmond, OK 73013-0001

Phone

(405) 361-1040

NPI assigned

Dec 20, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Kalyn Lee Sparks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1003454067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 LANGLEY WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730130001",
            "telephone_number": "405-361-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 LANGLEY WAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730130001",
            "telephone_number": "405-361-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "KALYN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "86062373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALYN",
            "last_name": "SPARKS",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Key Health Institute of Edmond, LLC
• Key Health Institute of Edmond, LLC
• Key Health Institute of Edmond, LLC
• Keys for Hope PLLC
• Mahmoud A Khaimi, M.D.
• Mohammad Fazel Khalili, MD
• Viorica Khalili, MD
• Shawn Khavari, M.D.
• Sasan Khodadadian, PHARMD
• Kickingbird Dental

• Registered Dietitian in Edmond, OK
• Providers in Edmond, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.