Provider Demographics
NPI:1487780557
Name:FEICHT, KEVIN LEIGH (RPH)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LEIGH
Last Name:FEICHT
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 1:3258 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:LOWELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44436-8733
Mailing Address - Country:US
Mailing Address - Phone:330-536-8771
Mailing Address - Fax:
Practice Address - Street 1:2701 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1612
Practice Address - Country:US
Practice Address - Phone:330-782-8240
Practice Address - Fax:330-788-1422
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-01-12204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist