Individual
MR. KEVIN M HOEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
431 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9385
(608) 839-3784
(608) 839-3786
Mailing address
431 W COTTAGE GROVE RD, COTTAGE GROVE, WI 53527-9385
(608) 839-3784
(608) 839-3786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11164-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11164-040
WI RPH LICENSE
WI
Enumeration date
01/30/2008
Last updated
01/30/2008
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