Provider Demographics
NPI:1477615359
Name:COUTURE, KEVIN L (PHARM D)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:L
Last Name:COUTURE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 K ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66935-1606
Mailing Address - Country:US
Mailing Address - Phone:785-527-2146
Mailing Address - Fax:785-527-5528
Practice Address - Street 1:1806 M ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:KS
Practice Address - Zip Code:66935-2206
Practice Address - Country:US
Practice Address - Phone:785-527-2146
Practice Address - Fax:785-527-5528
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist