Provider Demographics
NPI:1235218181
Name:ARP, KEVIN ALAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ALAN
Last Name:ARP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12787 BRIARCREST PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-5748
Mailing Address - Country:US
Mailing Address - Phone:858-793-0026
Mailing Address - Fax:
Practice Address - Street 1:2858 LOKER AVE E STE A
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-6608
Practice Address - Country:US
Practice Address - Phone:415-310-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist