Individual
KEVIN LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5960 CASTLEWAY WEST DR, INDIANAPOLIS, IN 46250-1977
(317) 579-8240
Mailing address
1150 N WHITE RIVER PKWY WEST DR APT 703, INDIANAPOLIS, IN 46222-3199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029068A
IN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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