Individual
DR. SUSAN JANE KEMENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
6712 E 73RD ST, TULSA, OK 74133-2729
(918) 492-6108
Mailing address
6712 E 73RD ST, TULSA, OK 74133-2729
(918) 492-6108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
029780
MO
183500000X
Pharmacist
15095
IA
183500000X
Pharmacist
Primary
9699
OK
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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