Provider Demographics
NPI:1003439951
Name:HAHN, RONALD KEVIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:KEVIN
Last Name:HAHN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:KEVIN
Other - Middle Name:
Other - Last Name:HAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:20041 W 220TH TER
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66083-4048
Mailing Address - Country:US
Mailing Address - Phone:913-788-0391
Mailing Address - Fax:
Practice Address - Street 1:20041 W 220TH TER
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:KS
Practice Address - Zip Code:66083-4048
Practice Address - Country:US
Practice Address - Phone:913-788-0391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-134061835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
190302OtherNABP
KS1-13406OtherPHARMACIST LICENSE NUMBER