Provider Demographics
NPI:1902247927
Name:KUYK, LINDSEY ALLISON
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ALLISON
Last Name:KUYK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W MALLARD CREEK CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-2683
Mailing Address - Country:US
Mailing Address - Phone:704-549-1272
Mailing Address - Fax:
Practice Address - Street 1:2800 W MALLARD CREEK CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2683
Practice Address - Country:US
Practice Address - Phone:704-549-1272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14208183500000X
NC24744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist