Popp, Kenneth Gregory
Popp, Kenneth Gregory is an sole proprietor health care provider with primary practice located at 225 Physicians Park Ste 100 , Poplar Bluff MO 63901-3918. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Popp, Kenneth Gregory can be contacted via phone (573) 778-9238.Contact Information
Primary practice address
225 Physicians Park Ste 100
Poplar Bluff MO 63901-3918
Phone: (573) 778-9238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 044833 | Missouri |
Profile Details
| NPI number | 1700416146 |
|---|---|
| LBN Legal business name | Popp, Kenneth Gregory |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2020 |
| Last updated | Jan 24th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700416146 | NPPES |
| Missouri | Other | 044833 | MISSOURI STATE BOARD OF PHARMACY |
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