Provider Demographics
NPI:1780674440
Name:RYCHECK, KEVIN MARTIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:MARTIN
Last Name:RYCHECK
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:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:GARNETT
Mailing Address - State:KS
Mailing Address - Zip Code:66032-0366
Mailing Address - Country:US
Mailing Address - Phone:785-448-6650
Mailing Address - Fax:785-448-6686
Practice Address - Street 1:427 S OAK ST
Practice Address - Street 2:
Practice Address - City:GARNETT
Practice Address - State:KS
Practice Address - Zip Code:66032-0366
Practice Address - Country:US
Practice Address - Phone:785-448-6650
Practice Address - Fax:785-448-6686
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11425183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1717086OtherNABP NUMBER