Provider Demographics
NPI:1700499472
Name:RHODES, KIRK ALLEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:ALLEN
Last Name:RHODES
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 1:951 FELL ST APT 309
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3589
Mailing Address - Country:US
Mailing Address - Phone:270-617-4035
Mailing Address - Fax:
Practice Address - Street 1:2805 N POINT RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-2413
Practice Address - Country:US
Practice Address - Phone:410-284-2424
Practice Address - Fax:410-284-0601
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020942183500000X
MD27450183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist