Individual
DR. KYLE LEE ROOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024-1182
(816) 629-3667
(816) 629-2719
Mailing address
1224 MILWAUKEE ST, EXCELSIOR SPRINGS, MO 64024-1129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021029664
MO
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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