Individual
DR. KELLY ANNE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
815 FRISCO AVE, CLINTON, OK 73601-3322
(580) 323-1244
(580) 323-0455
Mailing address
815 FRISCO AVE, CLINTON, OK 73601-3322
(580) 323-1244
(580) 323-0455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17003
OK
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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