Individual
KENNETH CRIBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2205 W BROADWAY AVE, ENID, OK 73703-5312
(580) 540-4450
Mailing address
2205 W BROADWAY AVE, ENID, OK 73703-5312
(580) 540-4450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14880
OK
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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