Provider Demographics
NPI:1629373758
Name:PATEL, KEVIN (RPH)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 NEW FALLS RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-3199
Mailing Address - Country:US
Mailing Address - Phone:574-302-2883
Mailing Address - Fax:
Practice Address - Street 1:5524 NEW FALLS RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-3199
Practice Address - Country:US
Practice Address - Phone:574-302-2883
Practice Address - Fax:215-946-4801
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP457559183500000X
IN26021924A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist