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General NPI Number Information
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NPI Number | 1386979557
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Entity Type | Individual
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Provider Name | KAVITA KUMAR
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Gender | Female
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 1950 W RAY RD
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City | CHANDLER
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State | AZ
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Zip | 85224-9008
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Country | US
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Telephone | 480-814-0178
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Fax | 480-855-1602
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Provider Business Mailing Address
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Address Line | 363 W MYRTLE DR
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City | CHANDLER
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State | AZ
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Zip | 85248-4554
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Country | US
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Telephone | 480-274-3873
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S12186
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License Number State | AZ
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