-- KEVIN DEITEMEYER --
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1154603199- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 901 N MAIN ST, NICHOLASVILLE, KY, 403562309
- Phone
- (859) 881-8203
Specialties & Taxonomies
Pharmacist
Primary License: KY #013367