Individual
KYLE JAMES BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1000 W BOISE CIR, BROKEN ARROW, OK 74012-4900
(918) 994-8149
Mailing address
3606 W TWIN OAKS PL, BROKEN ARROW, OK 74011-1298
(405) 229-2240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18476
OK
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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