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
Phone: (916) 850-1195
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1619970035 | NPPES |
California | MEDICAID | FHC70957F | |
California | MEDICAID | FCH03887F |
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