Male or Other

Mr. Kevin R. Layne RPH

Full Name

Mr. Kevin Richard Layne RPH

NPI Number

1174736631

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/08/2007

Specialties

(Taxonomies)

Code

183500000X
1835P1200X
1835P1300X

Primary Taxonomy

No
No
No

Licenses

State

North Carolina

License Number

10970

Contact
Information

Purpose

Mailing
Location

Address

1026 CYPRESS DRIVE
509 S VAN BUREN ROAD

City

Reidsville
Eden

State

NC
NC

Postal Code

27320
27288-5018

Country

US
US

Telephone Number

(336) 342-3027
(336) 627-4600

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address