Provider Demographics
NPI:1851686851
Name:LOOK, KEVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:LOOK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 JUNCTION RD
Mailing Address - Street 2:T-1060
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-2615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 JUNCTION RD
Practice Address - Street 2:T-1060
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-2615
Practice Address - Country:US
Practice Address - Phone:608-827-9483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15546-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist