Healthcare Provider Details

I. General information

NPI: 1639554280
Provider Name (Legal Business Name): KEVIN DANIEL YEE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 09/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE
TUCSON AZ
85724-1839
US

IV. Provider business mailing address

1501 N CAMPBELL AVE
TUCSON AZ
85724
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS021297
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: