Provider Demographics
NPI:1326307356
Name:WILHOIT, RICHARD KYLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KYLE
Last Name:WILHOIT
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 1:2419 WASHINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-3321
Mailing Address - Country:US
Mailing Address - Phone:865-524-3452
Mailing Address - Fax:
Practice Address - Street 1:2419 WASHINGTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-3321
Practice Address - Country:US
Practice Address - Phone:865-524-3452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36190183500000X
FLPS48413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist