NPI 1003197484

Kenneth Cribley, DPH

Practitioner Pharmacist Enid, OK

Practice location

Address: 2205 W Broadway Ave, Enid, OK 73703-5312
Phone: (580) 540-4450

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 14880 (OK)

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Registry record

NPI: 1003197484
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2011
Record last updated: 30 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.