Tate, Kelly

Tate, Kelly is an individual health care provider with primary practice located at 1438 Hardcastle Blvd , Purcell OK 73080-8233. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Tate, Kelly can be contacted via phone (405) 527-4700.

Contact Information

Primary practice address
1438 Hardcastle Blvd Purcell OK 73080-8233
Fax: (580) 559-0610
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X T10378 Oklahoma

Profile Details

NPI number 1558481812
LBN Legal business name Tate, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 24th, 2007 - about 19 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558481812 NPPES
Oklahoma Other T10378 OK LICENSE

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