KELVIN N. WHITEHEAD

LAWTON, OK
NPI1871502781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  9347)
Additional Taxonomies183500000X Pharmacist
(Licence: TX  29645)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- KELVIN N. WHITEHEAD D.Ph
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 580-353-0350
Mailing Address
-- KELVIN N. WHITEHEAD D.Ph
2808 NE SHELTER CREEK DR
LAWTON, OK 73507-1931
Phone number: 580-354-0368