MR. Kenneth Gene Souder, DPH
NPI #1508848235 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1508848235
- Entity Type
- Individual
- Name
- MR. Kenneth Gene Souder, DPH
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Pharmacist
- Credential
- DPH
- Enumeration Date
- Nov 17, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 402 BEMBERG RD
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2938
- Phone
- (423) 543-3493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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