Individual
DR. KRISTIN LEE BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10019 S MEMORIAL DR, TULSA, OK 74133-6103
(918) 615-5001
(918) 615-5011
Mailing address
10019 S MEMORIAL DR, TULSA, OK 74133-6103
(918) 615-5001
(918) 615-5011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14427
OK
183500000X
Pharmacist
47132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100851520B
—
OK
Enumeration date
06/06/2011
Last updated
06/06/2011
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