Provider Demographics
NPI:1942762133
Name:HEMPHILL, KYLA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KYLA
Middle Name:
Last Name:HEMPHILL
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 1:31 SNOWBERRY DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3586
Mailing Address - Country:US
Mailing Address - Phone:567-241-7337
Mailing Address - Fax:419-617-7749
Practice Address - Street 1:725 N SANDUSKY AVE STE 2
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-1463
Practice Address - Country:US
Practice Address - Phone:567-241-7337
Practice Address - Fax:419-617-7749
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03236823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist