Mary Deborah Kuzel, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

113700 Issued in MN

Practice address

629 N Shore Dr
Detroit Lakes, MN 56501-4509

Phone

(920) 366-4007

NPI assigned

Jul 20, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1619280559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N SHORE DR",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565014509",
            "telephone_number": "920-366-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SHORE DR",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565014509",
            "telephone_number": "920-366-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZEL",
        "first_name": "MARY",
        "middle_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "113700",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ND",
            "license": "3971",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "14062-040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Koshnick, MD
• Stephanie Krueger, PA-C
• Ramona Kuehl
• Shivan Kulasingham, MD
• Caitlin Ann Kumpula, CNP
• Janelle L Kyllo Bouchie, PA-C
• Brian Labat, DDS
• Michael Keith Lachapelle, LADC
• Jennifer Ladd
• Carrie Amanda Lahr, APRN/CNP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.