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NPI Code Detail

MEDICARE: JAMES WAYNE KLEOPPEL PHARMD

MEDICARE: JAMES WAYNE KLEOPPEL PHARMD
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
1183500000XPharmacist2000174734MO
2183500000XPharmacist10338KS

General Provider Information

NPI Number : 1184907552
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES WAYNE KLEOPPEL PHARMD
Provider Business Mailing Address
First Line : 2630 NE VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-2513
Country : US
Telephone Number : 816-459-7175
Fax Number : 816-459-7686
Provider Business Practice Location Address
First Line : 2630 NE VIVION RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-2513
Country : US
Telephone Number : 816-459-7175
Fax Number : 816-459-7686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 09/22/2011

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