Rudd, Kelly M

Rudd, Kelly M is an sole proprietor health care provider with primary practice located at 1111 W 17Th St , Tulsa OK 74107-1886. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Rudd, Kelly M can be contacted via phone (185) 618-2399.

Contact Information

Primary practice address
1111 W 17Th St Tulsa OK 74107-1886
Phone: (185) 618-2399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19713 Iowa
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 050193 New York
Pharmacy Service Providers / Pharmacist 183500000X 19454 Oklahoma

Profile Details

NPI number 1508841222
LBN Legal business name Rudd, Kelly M
Credentials PHARM.D., BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Apr 17th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508841222 NPPES
Oklahoma Other 19434 OKLAHOMA STATE BOARD OF PHARMACY

Popular Providers