Provider Demographics
NPI:1093143620
Name:KYNARD, LOUIS CLAUSE JR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:CLAUSE
Last Name:KYNARD
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9374 HIMALAYAS AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-6711
Mailing Address - Country:US
Mailing Address - Phone:269-870-7718
Mailing Address - Fax:
Practice Address - Street 1:9374 HIMALAYAS AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-6711
Practice Address - Country:US
Practice Address - Phone:269-870-7718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020404461835P0018X
OH032153951835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist