Secrest, Kevin

Secrest, Kevin is an individual health care provider with primary practice located at 3340 Dorr St , Toledo OH 43607-2717. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Secrest, Kevin can be contacted via phone (419) 531-2836.

Contact Information

Primary practice address
3340 Dorr St Toledo OH 43607-2717
Phone: (419) 531-2836
Fax: (419) 531-7085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-3-26636 Ohio

Profile Details

NPI number 1861443954
LBN Legal business name Secrest, Kevin
Credentials PHARM. D, R.PH
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861443954 NPPES
Ohio MEDICAID 7620506

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