Provider Demographics
NPI:1932649399
Name:HOWERY, KATHY (DPH)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:
Last Name:HOWERY
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:MISS
Other - First Name:KATHY
Other - Middle Name:JEANNE
Other - Last Name:NEVELS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:801 HEATHERHILL CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4219
Mailing Address - Country:US
Mailing Address - Phone:405-642-1636
Mailing Address - Fax:
Practice Address - Street 1:801 HEATHERHILL CT
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-4219
Practice Address - Country:US
Practice Address - Phone:405-642-1636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist