MR. Kelly Earl Douglas, DPH

NPI #1326143868 in Pawnee, Oklahoma

Provider Information

NPI Number: 1326143868
Entity Type: Individual
Name: MR. Kelly Earl Douglas, DPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Sep 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 539 6TH ST
City: Pawnee
State: Oklahoma
ZIP Code: 74058-2542
Phone: (918) 762-3666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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