Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE JANSEN
Active Sole ProprietorKYLE JANSEN is a Institutional Pharmacy healthcare provider located in ROANOKE, Virginia. NPI 1558117267 is currently active in the NPPES registry. Verify at CMS.
Institutional Pharmacy · ROANOKE, VA
Registration Details
- NPI Number
- 1558117267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2024 (2.3174221826617 yrs)
- Last Updated
- Apr 24, 2024
- License
-
0202221323 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1906 BELLEVIEW AVE SEROANOKE, VA, 240141838Browse VA providers · Browse ZIP 24014
- Phone
- 5407591058
- Primary Specialty
-
Institutional Pharmacy
3336I0012X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.