Kenny Ray Walkup in South Lyon - Pharmacist
Kenny Ray Walkup - NPI 1942366836
Kenny Ray Walkup is a Pharmacist in South Lyon, Michigan. Kenny Ray Walkup practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kenny Ray Walkup is 1942366836. The last update date is 2013-04-19.
Kenny Ray Walkup's current location address is 350 S Lafayette St, South Lyon, Michigan. You can contact this provider via phone number 2484462643 and fax number 2484861906. The mailing address for Kenny Ray Walkup is 350 S Lafayette St, South Lyon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenny Ray Walkup |
|---|---|
| Address | 350 S Lafayette St, South Lyon, Michigan |
| Phone Number | 2484462643 |
| Fax Number | 2484861906 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1942366836 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2013-04-19 |
Provider Mailing Address Detail
| Address | 350 S Lafayette St |
|---|---|
| City | South Lyon |
| State | Michigan (MI) |
| Post Code | 481781814 |
| Phone Number | 2484462643 |
| Fax Number | 2484861906 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5302028789 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kenny Ray Walkup?
The Kenny Ray Walkup has been issued the NPI (National Provider Identifier) 1942366836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kenny Ray Walkup?
The Kenny Ray Walkup is situated at 350 S Lafayette St, in the city of South Lyon, state of MI, with the zip code 481781814.
What is Kenny Ray Walkup's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenny Ray Walkup is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
When did the Kenny Ray Walkup receive its 1942366836?
The Kenny Ray Walkup was issued its 1942366836 on 2006-12-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kenny Ray Walkup most recently updated or revised?
The details related to Kenny Ray Walkup, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-19.
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