Provider Demographics
NPI:1568514842
Name:BYINGTON, KURT H (RPH)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:H
Last Name:BYINGTON
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 1:405 WEST CENTER
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:UT
Mailing Address - Zip Code:84320
Mailing Address - Country:US
Mailing Address - Phone:435-757-5249
Mailing Address - Fax:
Practice Address - Street 1:44 EAST MAIN
Practice Address - Street 2:
Practice Address - City:TREMONTONT
Practice Address - State:UT
Practice Address - Zip Code:84337-8433
Practice Address - Country:US
Practice Address - Phone:435-257-5249
Practice Address - Fax:801-334-6567
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4912636-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist