Individual
KELLY COMBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
2330 CHANDLER RD, MUSKOGEE, OK 74403-4627
(918) 681-4910
Mailing address
627 LAKES DR, TAHLEQUAH, OK 74464-5061
(918) 671-1190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14474
OK
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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