Individual
KYLE ANDREW NETTLEINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
102 W NOBLE AVE, GUTHRIE, OK 73044-3123
(405) 282-7800
(405) 282-2244
Mailing address
102 W NOBLE AVE, GUTHRIE, OK 73044-3123
(405) 282-7800
(405) 282-2244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15217
OK
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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