PROF. Kenneth Bailes II, PHARMD.

NPI #1992181309 in Shawnee, Oklahoma

Provider Information

NPI Number: 1992181309
Entity Type: Individual
Name: PROF. Kenneth Bailes II, PHARMD.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD.
Enumeration Date: Aug 7, 2015
Last Updated: Aug 7, 2015

Practice Location

Address: 1427 N HARRISON AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-5245
Phone: (405) 273-8520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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