Individual
KYLE THOMAS HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCGP
Contact information
Practice address
208 W 12TH ST, LONDON, KY 40741-1101
(606) 864-4155
(606) 864-1135
Mailing address
208 W 12TH ST, LONDON, KY 40741-1101
(606) 864-4155
(606) 864-1135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014960
KY
1835G0303X
Geriatric Pharmacist
014960
KY
Other
Enumeration date
07/22/2010
Last updated
11/18/2021
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