Richard Kennedy
NPI #1114528809 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1114528809
- Entity Type
- Individual
- Name
- Richard Kennedy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 8, 2020
- Last Updated
- Nov 8, 2020
Practice Location
- Address
- 1025 WALTON DR
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-7235
- Phone
- (573) 783-2663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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