Individual
MR. KYLE SPURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
6269 W 38TH ST, INDIANAPOLIS, IN 46254-2928
(317) 293-8640
Mailing address
553 RIDGE RD, GREENWOOD, IN 46142-7357
(317) 989-4675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024696A
IN
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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