Individual
DR. KEVIN WERNER CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1872
Mailing address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5762
ID
Other
Enumeration date
08/12/2005
Last updated
11/17/2022
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