Individual
KEVIN STAPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
380 S ILLINOIS AVE, OAK RIDGE, TN 37830-6221
(865) 483-6633
Mailing address
8223 JACK RUSSELL CT, POWELL, TN 37849-3077
(865) 607-0059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000011187
TN
183500000X
Pharmacist
Primary
11167
TN
Other
Enumeration date
09/21/2010
Last updated
03/24/2013
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