MEDICARE: KYLE DOWNEY PHARMD

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
1	1835P1200X	Pharmacotherapy Pharmacist	PH00040241	WA

General Provider Information

NPI Number	:	1063554954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE DOWNEY PHARMD

Provider Business Mailing Address
First Line	:	6727 S MORAN VIEW ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-8494
Country	:	US
Telephone Number	:	509-443-1311
Fax Number	:	509-242-8762

Provider Business Practice Location Address
First Line	:	6727 S MORAN VIEW ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-8494
Country	:	US
Telephone Number	:	509-443-1311
Fax Number	:	509-242-8762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

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Directions to “ KYLE DOWNEY PHARMD” Practice Location

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