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Contact Information

KELVIN KENYORU, PHARM.D.
13027 STATE HIGHWAY 155 S
TYLER, TX75703-6560
 Phone: 903-839-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

1835P2201X
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KELVIN KENYORU · (Male)

NPI # 1699356295
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 04/16/2021
Last updated 01/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 68394
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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