Provider Demographics
NPI:1902424450
Name:FILKIN, MICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:FILKIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 S 1800 RD
Mailing Address - Street 2:
Mailing Address - City:WILSEY
Mailing Address - State:KS
Mailing Address - Zip Code:66873-9636
Mailing Address - Country:US
Mailing Address - Phone:620-767-3250
Mailing Address - Fax:
Practice Address - Street 1:121 PETER PAN RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KS
Practice Address - Zip Code:67301-7307
Practice Address - Country:US
Practice Address - Phone:620-331-9068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-100883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist