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Individual

MR. KEVIN TODD KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.PH.

Contact information

Practice address
5104 S LEWIS AVE, TULSA, OK 74105-6542
(918) 747-8841
(918) 747-6639
Mailing address
5104 S LEWIS AVE, TULSA, OK 74105-6542
(918) 747-8841
(918) 747-6639

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11259
OK

Other

Enumeration date
09/23/2006
Last updated
03/18/2013
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