Provider Demographics
NPI:1417221466
Name:KITE, RUFUS MICHAEL (RPH)
Entity Type:Individual
Prefix:
First Name:RUFUS
Middle Name:MICHAEL
Last Name:KITE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 PLANTERS DR
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-3553
Mailing Address - Country:US
Mailing Address - Phone:864-489-8429
Mailing Address - Fax:864-489-7669
Practice Address - Street 1:202 PLANTERS DR
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-3553
Practice Address - Country:US
Practice Address - Phone:864-489-8429
Practice Address - Fax:864-489-7669
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5609183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist