Healthcare Provider Details

I. General information

NPI: 1386739423
Provider Name (Legal Business Name): KEVIN A VOHS PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CRESTVIEW CIR STE 120
LOUISBURG KS
66053-6472
US

IV. Provider business mailing address

13757 W 247TH ST
LOUISBURG KS
66053-5923
US

V. Phone/Fax

Practice location:
  • Phone: 913-533-7575
  • Fax: 888-546-0706
Mailing address:
  • Phone: 913-533-7575
  • Fax: 888-546-0706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13656
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: