Diane Marie Kennedy, RPH

NPI #1588911176 in Fort Knox, Kentucky

Provider Information

NPI Number: 1588911176
Entity Type: Individual
Name: Diane Marie Kennedy, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 14, 2012
Last Updated: Aug 14, 2012

Practice Location

Address: 851 IRELAND AVE
Address 2: PHARMACY DEPARTMENT
City: Fort Knox
State: Kentucky
ZIP Code: 40121-2722
Phone: (502) 624-5915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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