Provider Demographics
NPI:1942802178
Name:TORRES, KYLE PATRICK (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:PATRICK
Last Name:TORRES
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N 7 HWY
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-1938
Mailing Address - Country:US
Mailing Address - Phone:816-427-9023
Mailing Address - Fax:816-427-9025
Practice Address - Street 1:1700 N 7 HWY
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-1938
Practice Address - Country:US
Practice Address - Phone:816-427-9023
Practice Address - Fax:816-427-9025
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012026223183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist