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NPI Code Detail

MEDICARE: KELVIN LE RPH

MEDICARE:   KELVIN  LE  RPH
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
1183500000XPharmacistRP042299YPA

General Provider Information

NPI Number : 1649351370
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELVIN LE RPH
Provider Business Mailing Address
First Line : 3611 PALMER CT
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-3485
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3611 PALMER CT
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-3485
Country : US
Telephone Number : 817-372-0739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/08/2007

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Directions to “ KELVIN LE RPH” Practice Location

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