Healthcare Provider Details

I. General information

NPI: 1134484678
Provider Name (Legal Business Name): KEVIN MICHAEL SEYFRIED RPH, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2012
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4533 MONROE ST
TOLEDO OH
43613-4700
US

IV. Provider business mailing address

4533 MONROE ST
TOLEDO OH
43613-4700
US

V. Phone/Fax

Practice location:
  • Phone: 419-471-9240
  • Fax: 419-471-9458
Mailing address:
  • Phone: 419-471-9240
  • Fax: 419-471-9458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH03131785
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: