Provider Demographics
NPI:1689734170
Name:KUEHL, PEGGY G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:G
Last Name:KUEHL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9048 HASKINS ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3423
Mailing Address - Country:US
Mailing Address - Phone:913-522-9664
Mailing Address - Fax:
Practice Address - Street 1:M3-C19 MEDICAL SCHOOL BUILDING
Practice Address - Street 2:2411 HOLMES ST
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2792
Practice Address - Country:US
Practice Address - Phone:816-235-2433
Practice Address - Fax:816-235-1776
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060333601835P1200X
KS1141431835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy