Kenneth Lyon Valid NPI

Individual provider · Pharmacist · Muskogee, OK

NPI

1649224528

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

11768 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-22

Last updated

2007-07-08