Most Relevant Information
Provider Data
| NPI Number: | 1003197484 |
| Provider Name: | KENNETH CRIBLEY DPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 14880 |
Most Important Dates
| Enumeration Date: | 08/30/2011 |
| Last Updated: | 08/30/2011 |
Provider Practice Location
2205 W BROADWAY AVE
ENID
OK
737035312
Practice Location Phone/Fax
| Phone: | 5805404450 |
| Fax: |
Provider Mailing Location
2205 W BROADWAY AVE
ENID
OK
737035312
Provider Mailing Phone/Fax
| Phone: | 5805404450 |
| Fax: |