Kevin Curtis Bourne
Pharmacist in Apo, AE. Individual provider (NPI-1).
NPI number1073822557
StatusActive
Last updated in NPPESAug 10, 2022
Details
- NPI
- 1073822557
- Entity type
- Individual (NPI-1)
- Name
- Kevin Curtis Bourne
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2010
- Certification date
- Aug 4, 2022
- Last updated
- Aug 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 14337 | NE | Yes |
Practice location
Landstuhl Regional MedcenMceu-Lcm-Mso, Unit 33100
Apo, AE 09180
Phone 314-590-6054
Mailing address
Landstuhl Regional MedcenMceu-Lcm-Mso, Unit 33100
Apo, AE 09180
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