Kelly Herrod

NPI #1184705469 in Ardmore, Oklahoma

Provider Information

NPI Number: 1184705469
Entity Type: Individual
Name: Kelly Herrod
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Oct 17, 2006
Last Updated: Jul 23, 2007

Practice Location

Address: 2510 CHICKASAW BLVD
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1341
Phone: (580) 226-8181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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