Provider Demographics
NPI:1881935740
Name:VU, KEVIN KE VINH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:KE VINH
Last Name:VU
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 1:9722 FRY ROAD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433
Mailing Address - Country:US
Mailing Address - Phone:281-373-2102
Mailing Address - Fax:281-205-6283
Practice Address - Street 1:9722 FRY ROAD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:281-373-2102
Practice Address - Fax:281-205-6283
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist