Individual
MRS. KIMBERLY ANN BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
102 LAWSON BLVD, CLAYTON, OK 74536-0517
(918) 569-4884
(918) 569-4660
Mailing address
PO BOX 132, TALIHINA, OK 74571-0132
(918) 569-4884
(918) 569-4660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11028
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11028
OK STATE LICENSE NUMBER
OK
Enumeration date
12/27/2006
Last updated
07/08/2007
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