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NPI Code Detail

MEDICARE: KENT OWEN TAYLOR DPH

MEDICARE:   KENT OWEN TAYLOR  DPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist10382OK

General Provider Information

NPI Number : 1336098813
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENT OWEN TAYLOR DPH
Provider Business Mailing Address
First Line : 2816 LOST ROCK TRL
Second Line :
City : EDMOND
State : OK
Zip : 73012-4556
Country : US
Telephone Number : 405-471-9287
Fax Number :
Provider Business Practice Location Address
First Line : 185 E 33RD ST
Second Line :
City : EDMOND
State : OK
Zip : 73013-4602
Country : US
Telephone Number : 405-348-8328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ KENT OWEN TAYLOR DPH” Practice Location

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