Individual
KELLY DENISE DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
2114 S MAIN ST, GROVE, OK 74344-5356
(918) 786-4491
(918) 786-2043
Mailing address
2114 HOPE ST, JAY, OK 74346-2865
(918) 253-7898
(918) 786-2043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12946
OK
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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