Provider Demographics
NPI:1346273356
Name:DEFEVER, ALAN FRENCH (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:FRENCH
Last Name:DEFEVER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13001 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3630
Mailing Address - Country:US
Mailing Address - Phone:913-515-0462
Mailing Address - Fax:620-251-4730
Practice Address - Street 1:601 W 11TH ST
Practice Address - Street 2:
Practice Address - City:COFFEYVILLE
Practice Address - State:KS
Practice Address - Zip Code:67337-5025
Practice Address - Country:US
Practice Address - Phone:620-251-1620
Practice Address - Fax:620-251-4730
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002009963183500000X
OK11513183500000X
KS12434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist