Individual
DR. KYLE L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
15030 S MEMORIAL DR, BIXBY, OK 74008-3706
(918) 364-7222
(918) 364-7225
Mailing address
15030 S MEMORIAL DR, BIXBY, OK 74008-3706
(918) 364-7222
(918) 364-7225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17176
OK
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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