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Individual

MR. KRISTOPHER AVERY KAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH.

Contact information

Practice address
1401 SPRING ST, PETOSKEY, MI 49770-2884
(231) 347-7281
Mailing address
3737 PICKEREL LAKE RD, PETOSKEY, MI 49770-9326
(231) 487-0778

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302301094
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302031094
BOARD OF PHARMACY PRACTICE LICENSE
MI
Enumeration date
03/02/2010
Last updated
03/02/2010
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