NPI 1013367028

Kyle Maxwell, PHARMDRPH

Practitioner Pharmacist Burlington, VT

Practice location

Address: 158 Cherry St, Burlington, VT 05401-3818
Phone: (802) 862-1562

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0112370 (VT)

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Registry record

NPI: 1013367028
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2016
Record last updated: 21 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.