Lum, Kelvin

Lum, Kelvin is an individual health care provider with primary practice located at 430 Blue Ravine Rd T-1098, Folsom CA 95630-3402. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lum, Kelvin can be contacted via phone (916) 850-1195.

Contact Information

Primary practice address
430 Blue Ravine Rd T-1098 Folsom CA 95630-3402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 69511 California

Profile Details

NPI number 1619970035
LBN Legal business name Lum, Kelvin
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 3rd, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619970035 NPPES
California MEDICAID FHC70957F
California MEDICAID FCH03887F

Popular Providers