Individual
DR. STEPHEN HAVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4001 MILL ST, KANSAS CITY, MO 64111-3008
(816) 931-1505
Mailing address
4001 MILL ST, KANSAS CITY, MO 64111-3008
(816) 223-4538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-12912
KS
183500000X
Pharmacist
Primary
2004034221
MO
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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