Individual provider · Type 1 NPI

Kelly M. Rudd, PharmD, BCPS

Pharmacist · Tulsa, OK

NPI number 1508841222 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (185) 618-2399 Map

Mailing address

34794 S Highway 82
Vinita, OK 74301-7045

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X19713 (IA)
Pharmacotherapy Pharmacist 1835P1200X050193 (NY)
Pharmacist Primary 183500000X19454 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1508841222

Kelly M. Rudd, PharmD, BCPS's National Provider Identifier is 1508841222, issued on Dec 15, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tulsa, OK. The record was last updated on Apr 17, 2025.