Individual
KAYLEY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 W HEFNER RD, OKLAHOMA CITY, OK 73114-6836
(405) 773-0711
(405) 773-1204
Mailing address
701 W HEFNER RD, OKLAHOMA CITY, OK 73114-6836
(405) 773-0711
(405) 773-1204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18891
OK
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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