Provider Demographics
NPI:1801085196
Name:KYLE, STEVEN W (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:KYLE
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 1:2315 CAPITOL AVE STE 1020
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5812
Mailing Address - Country:US
Mailing Address - Phone:916-436-1401
Mailing Address - Fax:
Practice Address - Street 1:2315 CAPITOL AVE STE 1020
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5812
Practice Address - Country:US
Practice Address - Phone:916-436-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH48739183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist