Individual
MRS. KIM L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
1621 S DIVISION ST, GUTHRIE, OK 73044-5020
(405) 260-1574
(405) 260-1643
Mailing address
3000 TRAILHEAD DR, EDMOND, OK 73034-0830
(058) 234-7904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10130
OK
Other
Enumeration date
08/29/2011
Last updated
06/24/2019
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