Individual
KELVIN N. WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 353-0350
(580) 354-1284
Mailing address
2808 NE SHELTER CREEK DR, LAWTON, OK 73507-1931
(580) 354-0368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
29645
TX
183500000X
Pharmacist
Primary
9347
OK
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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