Individual
DR. KAREN KYLENE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1011 HONOR HEIGHTS DR, JACK C MONTGOMERY VAMC MUSKOGEE, MUSKOGEE, OK 74401-1318
(918) 683-3261
(918) 680-3998
Mailing address
901 E 58TH ST S, MUSKOGEE, OK 74403-7953
(918) 683-3261
(918) 680-3998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9118
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9118
STATE LICESE (PHARMACIST)
OK
Enumeration date
08/31/2006
Last updated
07/08/2007
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