Provider Demographics
NPI:1407995525
Name:HELVEY, KENT ALLEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KENT
Middle Name:ALLEN
Last Name:HELVEY
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 1:3030 MCKINNEY AVE APT 802
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2448
Mailing Address - Country:US
Mailing Address - Phone:254-913-3548
Mailing Address - Fax:
Practice Address - Street 1:219 SUNSET AVE
Practice Address - Street 2:STE 118A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4599
Practice Address - Country:US
Practice Address - Phone:214-943-5187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist