Individual
KEVIN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
21400 TIMBERLAKE RD, LYNCHBURG, VA 24502-7235
(434) 239-5752
Mailing address
21400 TIMBERLAKE RD, LYNCHBURG, VA 24502-7235
(434) 239-5752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218780
VA
Other
Enumeration date
08/25/2020
Last updated
09/04/2021
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