Individual
DR. KIRK EDWARD HEVENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, PHD
Contact information
Practice address
1784 FRAYSER BLVD, MEMPHIS, TN 38127-6410
(901) 358-0818
Mailing address
288 N MCLEAN BLVD, APT. #1, MEMPHIS, TN 38112-5353
(901) 573-5218
(901) 448-6828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000023949
TN
Other
Enumeration date
02/14/2007
Last updated
01/20/2009
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