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NPI Code Detail

MEDICARE: KEVIN EMBERTON RPH

MEDICARE: KEVIN EMBERTON RPH
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
1183500000XPharmacist008191KY

General Provider Information

NPI Number : 1093746190
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN EMBERTON RPH
Provider Business Mailing Address
First Line : PO BOX 479
Second Line :
City : EDMONTON
State : KY
Zip : 42129-0479
Country : US
Telephone Number : 270-432-3111
Fax Number :
Provider Business Practice Location Address
First Line : 1704 W STOCKTON ST
Second Line :
City : EDMONTON
State : KY
Zip : 42129-8137
Country : US
Telephone Number : 270-432-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 10/29/2009

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Directions to “ KEVIN EMBERTON RPH” Practice Location

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