Healthcare Provider Details

I. General information

NPI: 1740491885
Provider Name (Legal Business Name): SHELI KRAFT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11808 CHELSEA CHASE
OKLAHOMA CITY OK
73170-3603
US

IV. Provider business mailing address

11808 CHELSEA CHASE
OKLAHOMA CITY OK
73170-3603
US

V. Phone/Fax

Practice location:
  • Phone: 405-641-0223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number12928
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: