Provider Demographics
NPI:1457727760
Name:MCMURTRIE, KEVIN TAYLOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:TAYLOR
Last Name:MCMURTRIE
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 1:5606 INVERNESS PL
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-1438
Mailing Address - Country:US
Mailing Address - Phone:205-218-9948
Mailing Address - Fax:
Practice Address - Street 1:5606 INVERNESS PL
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-1438
Practice Address - Country:US
Practice Address - Phone:205-218-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18677183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist