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NPI Code Detail

MEDICARE: DR. KEVIN KURIAN PHARM.D.

MEDICARE: DR. KEVIN KURIAN PHARM.D.
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
1183500000XPharmacistPS50709FL

General Provider Information

NPI Number : 1174128011
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN KURIAN PHARM.D.
Provider Business Mailing Address
First Line : 5327 NW 108TH WAY
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-2743
Country : US
Telephone Number : 954-864-4250
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-7512
Country : US
Telephone Number : 954-788-0739
Fax Number : 954-788-7347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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