Brandon Allen Kenworthy

NPI #1477012599 in Arthur, Illinois

Provider Information

NPI Number
1477012599
Entity Type
Individual
Name
Brandon Allen Kenworthy
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Mar 18, 2019
Last Updated
Mar 18, 2019

Practice Location

Address
118 S VINE ST
City
Arthur
ZIP Code
61911-1334
Phone
(217) 543-2913

Specialties & Taxonomy Codes

Specialty
Pharmacist

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