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
Phone: (405) 527-4700
Fax: (580) 559-0610
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558481812 | NPPES |
| Oklahoma | Other | T10378 | OK LICENSE |
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