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Kyle Andrew Nettleingham, Pharm.D.

Pharmacist in Guthrie, OK. Individual provider (NPI-1).

NPI number1669940573
StatusActive
Last updated in NPPESNov 8, 2018

Details

NPI
1669940573
Entity type
Individual (NPI-1)
Name
Kyle Andrew Nettleingham
Credential
Pharm.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 8, 2018
Last updated
Nov 8, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist15217OKYes

Practice location

102 W Noble Ave
Guthrie, OK 73044-3123

Phone 405-282-7800 · Fax 405-282-2244

Mailing address

102 W Noble Ave
Guthrie, OK 73044-3123

Phone 405-282-7800 · Fax 405-282-2244

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Guthrie, OK

All 18 Pharmacist providers in Guthrie · All 373 providers in Guthrie

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