Waite, Kevin John

Waite, Kevin John is an individual health care provider with primary practice located at 140 Keyland Ct Unit 27 , Bohemia NY 11716-2655. He recently has only one registered license in Pharmacy Service Providers / Nutrition Support, which is considered as his primary health care specialty. Waite, Kevin John can be contacted via phone (631) 750-9088.

Contact Information

Primary practice address
140 Keyland Ct Unit 27 Bohemia NY 11716-2655
Phone: (631) 750-9088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X 061399 New York

Profile Details

NPI number 1346609476
LBN Legal business name Waite, Kevin John
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2016
Last updated Feb 17th, 2016 - about 8 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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