Search › Illinois › 183500000X
Kayla Revermann
NPI 1326648155 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1350 W Us Highway 50
Pharmacy
O Fallon, IL 62269 - Phone
- (618) 622-0507
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois