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Contact Information

KYLE A RUSSELL, PHARM.D.
220 S ST, HWY OK- 97
SAND SPRINGS, OK74063
 Phone: 918-245-9523
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KYLE A RUSSELL · (Male)

NPI Number 1760083166
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 11/03/2020
Last updated 11/03/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 17542
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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