Individual
KEVIN CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18294 BROAD ST, HENAGAR, AL 35978-4374
(256) 657-5187
(256) 657-2232
Mailing address
18294 BROAD ST, HENAGAR, AL 35978-4374
(256) 657-5187
(256) 657-5187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13788
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13788
STATE LICENSE NUMBER
AL
Enumeration date
11/14/2006
Last updated
07/27/2019
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