Individual
DR. KENNETH I FIELDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHRAMD
Contact information
Practice address
6336 E 4TH PL, TULSA, OK 74112
(918) 833-5180
Mailing address
6336 E 4TH PL, TULSA, OK 74112-1727
(918) 833-5180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15805
OK
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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